Minnesota Department of Health (MDH), Food Safety Partnership (FSP) and PWDU Quarterly Update Volume 7, Issue 3 July 2013 Inside this Issue Training Calendar Note From the Editor ....................................................... 1 Date Jul 9 to 11 Org. NEHA Jul 10 MDH/FPLS Jul 25 MDA/MFSD TF Aug 7 MDH/FPLS Healthy Swimming Update .............................................. 6 Aug 7 Sept 10 FSP+ Field Trip Rulemaking ..................................................................... 7 Sept 11 MDH/FPLS Sept 16 to 18 UMN, WSU, UC Davis Sept 25 and 26 Oct 2 NEHA Oct 2 FSP Nov 4 and 5 Flavorseal Nov 6 MDH/FPLS Dec 4 MDH/FPLS Dec 4 FSP+ Training Calendar ............................................................ 1 Training Events ............................................................... 2 Climate Change Corner .................................................. 4 P.E.P. Talk: Program Evaluation Pointers ...................... 5 Bug of the Quarter ........................................................... 6 In the News ..................................................................... 8 PWDU Staff Contact Information .................................... 9 Note From the Editor Everybody Loves a Parade With Independence Day, county and state fairs, and start-of-school events like Homecoming, every parade lover easily should find a marching band, juggling clown or local hero to applaud and enjoy. Parade season is in full swing, and we’re not to be outdone here in the PWDU newsletter. Marching down the columns of the this issue you’ll find food and water safety reminders and details about many training opportunities. Grab a beverage, sit back, enjoy and learn! Happy Reading, Sarah and the PWDU team 1 MDH/FPLS TM Details NEHA AEC Washington, D.C. Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Labeling Workshop U of MN 1890 Buford Avenue St. Paul, MN Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. Please note date change! Destination TBA All day Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Local Policy Making for Animal Health, Public Health and Food Systems Freeman Building 625 N. Robert Street St. Paul, MN NEHA Region 4 Conference LaCrosse, WI Radisson Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. 9:45 a.m. to 1:00 p.m. Juice HACCP, Wild Game Reduced Oxygen Packaging and HACCP Workshop 8:00 a.m. to 5:00 p.m. and 8:30 a.m. to 1:00 p.m. Brian Nummer, PhD and Tim Franks Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. 9:45 a.m. to 1:00 p.m. Agenda TBA Training Events We hope to explore aspects of winemaking, brewing and/or cheesemaking. FSP Videoconferences Regulators’ Breakfast The June 5, 2013 FSP videoconference was packed with useful information. After a brief update on MN Food Code revision from Linda Prail (MDH), Josh Rounds (MDH) presented an interesting account of the recent foodborne outbreak associated with homemade, rawmilk cheese in Minneapolis. Attendees then had the opportunity to participate in a MN Food Charter Event, led by Lisa Gemlo and Tim Jenkins (MDH). The purpose of the Regulators’ Breakfast is to establish a forum that will contribute to statewide uniformity and consistency amongst regulatory staff and management (local agency and MDH) in the interpretation and application of statutes, rules and procedures. Contact Sarah Leach for more information [email protected], 651-201-4509. Labeling Workshop The Minnesota Food Safety and Defense Task Force and Minnesota Department of Agriculture (MDA) will present a labeling workshop this summer. After a short break, we reconvened to hear An Industry Perspective on Development and Implementation of Employee Illness Policies. Mandy Sedlak (Darden), Ken Schelper (Davanni’s), Katie Bittner (Kwik Trip), Brian Turner (Sodexo), Lavonne Kucera (Caribou) and Cathy Bureau (Buffalo Wild Wings) all contributed. Date, Time and Location • • The next FSP videoconference will be held from 9:45 a.m. to 1:00 p.m. on Wednesday October 2, 2013. Levi Muhl and others from Minnesota Department of Agriculture will present information on food safety for wild game and juice. th July 25 , 2013 9 a.m. – 4 p.m. University of Minnesota, 1890 Buford Avenue, St. Paul, MN 55108 Course Overview The Labeling Workshop will review the basics of food labeling, discuss current developments in labeling, and have a panel discussion for questions and answers. Topics on the agenda are: basics of labeling, nutritional labeling, label claims, allergen labeling, and developments in labeling (including global and COOL labeling). For CEUs or site information, contact Jennifer Rief, 651201-5408, [email protected]. FSP+ Videoconferences Speakers Food Safety Partnership Plus (FSP+) videoconferences are opportunities for the regulatory community, industry and consumers to meet and learn about current issues impacting various environmental health issues. • • • • • • FSP+ videoconferences originate from the Freeman Building in St. Paul (B-107), and are available for live stream and at videoconference sites throughout the state. Cassie Mueller, MDA Deb Erhet, Hormel Jennifer van de Ligt, Cargill Jim Roettger, MDA Rose Tobelmann, General Mills Tyra Wisecup, FDA Registration The August 7, 2013 FSP+ meeting has been cancelled. We will, instead, gather for a field trip in early September (tentative date September 10). Details will be posted on the FSP Website, and watch your inbox for an email notification. $25 (includes lunch) http://register.cce.umn.edu/Course.pl?sect_key=187493 Contact Kirsten Knopff at 651-201-6271 or [email protected] with questions. 2 Local Policy Making for Animal Health, Public Health and Food Systems—University of Minnesota Registration $200—Early Registration, through August 30, 2013 $250—Regular Registration, after August 30, 2013 About the Program Program available as a 1 credit course through the Graduate Veterinary Medicine program, VMED5991. This three-day program focuses on policy making at the state level. Participants will increase their understanding of the policy-making process and develop skills to engage in more effective participation. The program is built around a case study on raw milk for human consumption—a controversial topic in much of the U.S. The raw milk issue highlights tensions between individual choice and the role of government that has a statutory responsibility to assure safe food products. Online Registration http://register.cce.umn.edu/Course.pl?sect_key=187429 Visit the programs page of the Center for Animal Health and Food Safety website at www.cahfs.umn.edu for more information. NEHA Regional Conference The NEHA Region 4 Conference will be held in LaCrosse, WI September 25 – 26, 2013. Register online at: http://www.weha.net/professionaldevelopment.php. Agenda and abstracts are also available. Reduced Oxygen Packaging and HACCP Workshop HACCP Workshop Series Dates and Location September 16 – 18, 2013 Freeman Building 625 N. Robert Street St. Paul, MN Reduced Oxygen Packaging (ROP), including cook-chill, sous vide, and vacuum packaging, provide operators the opportunity to increase shelf life, consistency and improve the quality of food. A thorough understanding of these processes, the risks and benefits involved, is essential to the safe implementation of ROP in any kitchen. Presented by • Global Initiative for Food Systems Leadership and the Center for Animal Health and Food Safety (University of Minnesota) • School for Global Animal Health (Washington State University) • Masters of Preventive Veterinary Medicine program (University of California, Davis) Workshop Description This workshop emphasizes the basic concepts of HACCP as they relate to reduced oxygen packaging of foods (ROP) under the 2009 US Model Food Code. Reduced Oxygen Packaging is considered a special processing technique and requires a documented (written and implemented) HACCP Program. Participants will receive: Who Should Attend? The program is designed for professionals interested in learning more about the policy-making process. Past participants include graduate students and residents in veterinary medicine, public health and related fields, early career professionals in animal health, public health, agriculture and the food industry plus professionals at later stages of their career who were particularly interested in public policy. • • • 3 A thorough understanding of the different methods of ROP, common equipment and supplies and how they are used in commercial kitchens A comprehensive look at the microbiological factors of concern when using ROP Key factors to include as part of writing or evaluating a HACCP plan for ROP Dates, Times and Location over-looked and simple retrofit and to make it more affordable and easier to take action. As “on-the-ground ambassadors,” we invite you to play a part in letting food professionals know about Make A Splash. 8:00 a.m. to 5:00 p.m. Monday November 4 and 8:30 a.m. to 1:00 p.m., Tuesday November 5, 2013. Orville Freeman Building, B-144 and B-145, 625 Robert Street North, St. Paul. Most commercial kitchens use a pre-rinse spray valve to clean off the food waste before the dishes go into the washing machine. The problem? A lot of these units use THREE TIMES more water and energy than newer, more efficient models. About the Speakers Dr. Brian Nummer is a food Microbiologist and Extension Specialist at Utah State University. Dr Nummer’s expertise is in retail and foodservice food safety, including ROP. Dr. Nummer is currently Chair of the Conference for Food Protection Committee assessing the science behind ROP HACCP requirements in the 2009 Food Code. This simple test can be done to find out if a pre-rinse spray valve is a water-waster: Get a one-gallon jug or bucket. If a one-gallon container can be filled in thirty seconds or less, the pre-rinse spray valve should be replaced. Why? Because older units typically use three gallons or more each minute, versus newer models that use 1.28 gallons a minute or less. Chef Tim Franks joined Flavorseal in 2009 after 30 years of experience in the foodservice industry, including five years as the Groen Capkold Corporate Chef and Trainer for Unified Brands, specializing in cook-chill and sous vide. Chef Tim is a registered ServSafe Instructor and Proctor for the NRAEF and is HACCP Certified. Depending on how often and how long these sprayers Who Should Attend? • • • • • • State Regulatory Officials Local Regulatory Officials Chefs Restaurant Owners/Managers Food Safety Managers QA Managers are used, this difference can result in BIG energy and water savings reducing utility bills by about $400 year after year for each spray valve upgraded. This workshop is sponsored by Flavorseal™ For more information or to register for this workshop, go to http://rop-mn.eventbrite.com/#. Or visit www.flavorseal.com. Efficient pre-rinse spray valves can be ordered for $28 (typically $68 retail) through an easy online form at the CERTs Make A Splash website: splash.mncerts.org. At this price, payback is as fast as one month, and even faster with utility rebates available in many communities around the state. Climate Change Corner How Thirty Seconds and a Gallon Jug Could Save Commercial Kitchens Over $400 a Year The thirty-five restaurants that have participated in Make A Splash by installing spray valves and faucet aerators, also available in this program, are each saving about $1,200 on their utility bills year after year. Restaurant owners are also pleased with the performance of their new spray valves. Many owners see a noticeable decrease in water use and have realized that they didn't need a lot of water to get the job done - all they need is good water pressure. Restaurants and others with commercial kitchens use more energy per square foot than any other business. Some of that energy is used to heat water for cleaning dishes and washing hands in busy kitchens. To help Minnesota restaurants and other organizations save energy, water, and money, the Clean Energy Resource Teams (CERTs) have developed a program called “Make A Splash” to draw attention to an often Here are resources that you can share with restaurants and others with commercial kitchens 4 • • • Handout explaining the simple test above, savings, and other restaurants’ satisfaction: bit.ly/splashrestaurants Series of CERTs’ YouTube videos showing how to test and install a spray valve: bit.ly/splash-series • This is a not-for-profit program - Our goal is simply to get these water- and energy-efficient spray valves in use in commercial kitchens all across Minnesota. Call Alexis at 612.626.0455 for a printed supply of the program brochure and other materials to share during your site visits. We hope you can help! • About CERTs: The Clean Energy Resource Teams—or CERTs— is a statewide partnership with a mission to connect Minnesota communities to the resources they need to identify and implement community-based clean energy projects. Visit mncerts.org to learn more! P.E.P. Talk: Program Evaluation Pointers Inspection Report Review Regulators of food and beverage, pools, lodging, RCA/MHP and youth camps across the state of Minnesota strive for accuracy and consistency in inspections. Periodic report review by supervisors and staff is a useful tool for helping improve consistency among sanitarians and between agencies. Review of inspection reports from all five program areas is also a part of the evaluation process. While most reports have many accurately cited violations and contain factual descriptions of conditions observed during the inspection, PWDU evaluation staff find several recurring errors in reports from many agencies. Commonly noted items on the food and beverage inspection reports are: • • • Plastic grocery (“smiley”) bags used for food storage; incorrectly cited. The correct code citation is 4626.0450. Floors and/or walls of walk-in coolers or freezers that need to be repaired; incorrectly cited. Walk-in coolers and freezers are considered food equipment so the correct citation is 4626.0735. Time as a public health control; incorrectly cited. The correct code citation is 4626.0410. Use Subpart 1 Requirements when the operator is using time incorrectly (e.g., not marking the food, not discarding food after 4 hours). Use Subpart 2 Notification when the operator has not provided written notification to the inspector that they are using time only, rather than time in conjunction with temperature, as the public health control. • Cooling from ambient temperature; incorrectly cited as a cold holding violation. The correct code citation is 4626.0385 B. The temperature of foods may be elevated such as after slicing tomatoes, cutting lettuce or making sandwiches. When the temperature is found to be >41°F, ask more questions to determine whether it is a cold holding violation or if the food is in the cooling process. Wiping cloth bucket sanitizer concentration too low or sanitizer absent; incorrectly cited. The correct citation is 4626.0285. Code citations are also shared as part of the Regulators’ Breakfast. We hope you are reading the notes, sharing them with others in your office and using them for reference when writing your inspection reports. The failure to maintain an illness log; incorrectly cited. The correct code citation is 4626.0060. Single-use food containers (e.g., sour cream containers, pickle buckets) being re-used; incorrectly cited. The correct code citation is 4626.0830. 5 Bug of the Quarter (45%) of 31 reported vomiting, and 8 (36%) of 22 reported weight loss. The median incubation period was 4 days (range, 4 to 12 days) for the seven cases who only swam at the aquatic center once in the 2 weeks prior to illness onset. The median duration of illness was 7 days (range, 3 to 19 days) for the 14 cases who had recovered by the time of interview. No cases required hospitalization for their illness. Cryptosporidium Infections Associated with an Aquatic Center Cryptosporidium is one of the leading causes of waterborne disease, or disease caused by swallowing contaminated drinking water or recreational water. Crypto, short for Cryptosporidium, is a parasite that causes diarrhea. This parasite is found in the fecal matter of a person with a Crypto infection (cryptosporidiosis). It has a tough outer shell that allows it to survive for a long time in the environment. It can survive for days even in properly chlorinated pools. People with Crypto may experience watery diarrhea, stomach cramps, fever, nausea, vomiting two to ten days after exposure with symptoms lasting one to two weeks. Upon inspection, the aquatic center was found to be operating properly and was within state regulatory limits for pH and chlorine levels. However, Cryptosporidium can survive and be transmitted even in properly operated pools. Review of the water quality reports from July and August showed multiple occasions on which the combined chlorine residual had exceeded the state pool code of 0.5 parts per million; no corrective action was noted on the reports. On August 5, the aquatic center voluntarily closed in order to be superchlorinated at 20 ppm for 12.75 hours, the necessary chlorine level and time needed to inactivate Cryptosporidium. In Minnesota, cryptosporidiosis is a reportable disease, meaning clinics are required to report to Minnesota Department of Health (MDH) patients who are diagnosed with the disease (routine surveillance). MDH interviews the reported cases to determine illness history and exposures. This state-wide system helps identify and control the spread of Crypto in our recreational waters. All pools at the aquatic center were reopened on August 7; anyone with symptoms of gastrointestinal illness was told not to enter the pool until 2 weeks following the resolution of symptoms. The parasite was most likely introduced into the pool by a patron or employee who swam while ill. The high combined chlorine levels recorded indicates that the chlorine that was present in the pool was not acting as an effective disinfectant. Printable fact sheet (CDC): http://www.cdc.gov/healthywater/pdf/swimming/resource s/cryptosporidium-factsheet.pdf Routine surveillance interviews of laboratory-confirmed Cryptosporidium cases conducted by MDH in July and August 2009 revealed that three cases had gone swimming at an aquatic center multiple times in the 2 weeks prior to illness onset in July 2009. Healthy Swimming Update Illness histories and exposure information were obtained from 62 aquatic center patrons and 24 aquatic center staff members. Thirty-three cases were identified (30 patrons and 3 staff), including 18 with stool specimens that tested positive for Cryptosporidium. Twenty positive specimens were received by the MDH Public Health Laboratory, including specimens from three additional secondary cases; Cryptosporidium hominis subtype HGP4 was identified in all. Clean It Up, Swimmers! In a recent report published by the Centers for Disease Control and Prevention, E. coli was detected in over half of filter backwash samples taken from a sample of metro-Atlanta area public pools during the 2012 summer swim season. Detection of E. coli indicates that swimmers introduced fecal material into the pool water. This can occur though a formed or diarrheal fecal incident in the water, or simply from washing off of swimmers’ bodies. The risk for transmission and Of the 33 cases, all reported diarrhea, 25 (86%) of 29 reported cramps, 13 (46%) of 28 reported fever, 14 6 recreational water illness increases if swimmers introduce feces when ill with diarrhea. force and effect of law. Rulemaking in Minnesota: A Guide explains each step of the rulemaking process in Minnesota. Minnesota Department of Health and Minnesota Department of Agriculture have adopted the Minnesota Food Code, Chapter 4626, under authority granted in MN Statute 157.011 and 28A.10. These findings indicate the need for swimmers to help prevent the introduction of pathogens by practicing good hygiene. Specific steps swimmers can take include: • • • • • Finding a Rule Don’t swim when you have diarrhea Shower with soap before swimming Wash your hands thoroughly after using the toilet or changing diapers Take children on bathroom breaks or change diapers often Change diapers in a bathroom, not at poolside or beachside Rules are usually grouped under the agency that administers them. Some agencies are assigned one chapter in Minnesota Rules; others have many chapters. The chapters appear in alphabetical order by agency or department name. You can also find a rule by looking at the numerical arrangement of chapters. Within each chapter the rules are arranged in a decimal numbering system. In a part number, the four digits to the left of the decimal point match the chapter number. The four digits to the right of the decimal point assign a unique number to each rule in the chapter. No part number is smaller than .0001 or larger than .9999. You can get a specific rule if you know the part number assigned to it. Additionally, recreational water illness prevention will be optimized when aquatics staff maintain disinfectant and pH levels according to state and local public health standards to inactivate pathogens, and state and local environmental health specialists enforce such standards. Web Update Schedule Following publication of notice of adoption in the State Register, a new or amended rule is reviewed and incorporated into the revisor's rule database. When this update process is completed, the chapter or chapters containing the new or amended rule is or are updated on the website. The "Posted" date is the date on which the rule was placed on the website. Rules are updated on a chapter basis. If a single rule is added or amended within a chapter, the entire chapter containing the rule is updated on the website. Read the full article from Morbidity and Mortality Weekly Report here. Rulemaking Minnesota is currently in the process of revising the Minnesota Food Code, Minnesota Rules, Chapter 4626. Here is information from MDH and from the Revisor’s Website, defining Rules and including information about how to find and access them. Look for more rulemaking updates in future issues. Print Publication Minnesota Administrative Rules Information on cost and availability of Minnesota Rules publications may be obtained by calling the Office of the Revisor of Statutes at (651) 296-2868 or Minnesota's Bookstore at (651) 297-3000. Definition Resources An administrative rule is a general statement adopted by an agency to make the law it enforces or administers more specific or to govern the agency's organization or procedure. • • • • • • An agency may adopt a rule only after the legislature has enacted a law granting this authority to the agency. An agency rule that is adopted under the rulemaking provisions of Minnesota Statutes, chapter 14, has the 7 About Minnesota Rules Agency List Table of Chapters Rules Index (topics) Minnesota Rule Status State Register In the News FDA honors SSA with Group Recognition Award! Multistate Outbreak of Hepatitis A We are pleased to announce that Jim Topie, Planner Principal, MDH; FPLS is among national Sprout Safety Alliance (SSA) team members that will be recognized at rd the 53 Annual FDA Honor Awards Ceremony with the Group Recognition Award. This award recognizes “superior achievement of the FDA’s mission through teamwork, partnership, shared responsibility, or fostering collaboration and coalition to achieve FDA goals.” The development of the SSA training programs and curriculum is a truly collaborative effort between the sprout industry, academia and federal, state and local government representatives, and the SSA team is honored to be recognized for their hard work. The US Centers for Disease Control and Prevention (CDC) is collaborating with public health officials in several states and the US Food and Drug Administration (FDA) to investigate a multistate outbreak of Hepatitis A illnesses. Preliminary results from the ongoing investigation are highlighted below. At a Glance • • • • • Cases under investigation: 118 States: 8 Deaths: 0 Hospitalizations: 54 Recall: Yes Highlights As of June 18, 2013, CDC was investigating acute hepatitis A illnesses in 118 people in eight states: Arizona, California, Colorado, Hawaii, Nevada, New Mexico, Utah, and Washington. Jim has been active in the national Sprout Safety Alliance as a Steering Committee Member, Co-Chair of the Technical Working Group and Planner of the Education / Outreach Group, since SSA was created in February 2012. The U.S. Food and Drug Administration (FDA), in cooperation with Illinois Institute of Technology’s Institute for Food Safety and Health (IIT IFSH), created the Sprout Safety Alliance to enhance the industry's understanding and implementation of best practices for improving sprout safety. The SSA is developing a core curriculum and training and outreach programs for stakeholders in the sprout production community. Based on completed epidemiologic investigations of 116 cases: • 68 (59%) ill people are women • Ages range from 2 – 87 years • Illness onset dates range from 3/16/2013 – 6/11/2013 • 54 (47%) ill people have been hospitalized, and no deaths have been reported • 93 of 116 (80%) ill people interviewed reported eating “Townsend Farms Organic Anti-Oxidant Blend” frozen berry and pomegranate mix • All those who reported eating this product purchased it from Costco markets; however, the product was also sold at Harris Teeter stores. No cases have been identified that bought the product at Harris Teeter at this time The Alliance is composed of the food industry, academia, and members from federal, state, and local food protection agencies. It is funded by a grant from FDA to IIT IFSH, a nationally-recognized leader in food safety, food defense and nutrition science and research. The Sprout Safety Alliance invites stakeholders to participate and collaborate in the creation of a national training curriculum and educational outreach programs for the sprout production community. If you are interested in serving on one or both of the SSA Working Groups, please contact SSA at [email protected]. Resources from CDC For more information on this outbreak, including vaccine and IG information, case count map and epi curve visit Multistate outbreak of Hepatitis A infections associated with “Townsend Farms Organic Antioxidant Blend” frozen berry and pomegranate mix. Find general information about Hepatitis A at the Viral Hepatitis home page. 8 APHL Biomonitoring Toolkit among subscribers about biomonitoring. The site allows for multiple discussion threads to take place at once, as well as a robust search engine for finding old discussion threads. The Association of Public Health Laboratories (APHL) proudly announces our new Biomonitoring Toolkit! Created for anyone interested in the biomonitoring system – from environmental health directors & epidemiologists, to toxicologists & academics – this resource will try to answer any question you may have about biomonitoring. Please share this with your networks and colleagues interested in Biomonitoring. To access the Toolkit, you need to log into APHL’s SharePoint site. If you have not used our SharePoint tool, you will need sign up for an account: • • Document libraries include overarching guidance documents, laboratory methods, communication templates, and stories from the field. Links point to other relevant resources. This discussion board, which functions similar to a listserv, facilitates conversation Visit www.aphl.org and click on ‘Create an Account’ (upper right). Email [email protected] to let us know which email address you used and we’ll add that to the Toolkit. If you have any questions with the Toolkit or Discussion Board, please see the Biomonitoring Toolkit User Guide or email [email protected] for assistance. Partnership and Workforce Development Unit Staff Contact Information Name, duties Email Phone Angie Cyr, acting PWDU supervisor [email protected] 651-201-4843 Kim Carlton, training, program evaluation, standardization [email protected] 651-201-4511 Nicole Koktavy, epidemiologist, EHS-Net coordinator [email protected] 651-201-4075 Sarah Leach, newsletter, training, food safety outreach [email protected] 651-201-4509 Michelle Messer, training, program evaluation, standardization [email protected] 651 201-3657 Jennifer Rief, administrative support [email protected] 651-201-4508 Denise Schumacher, web, communications [email protected] 507-537-7162 Jim Topie, training, communications [email protected] 218-302-6154 Division of Environmental Health Food, Pools, and Lodging Services Section P. O. Box 64975 St. Paul MN, 55164-0975 651-201-4500 or 1-888-345-0823 9
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