Handwashing

  • Posted: May 20th, 2012 - 8:22pm by Doug Powell

     

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  • Posted: April 24th, 2012 - 11:57am by Doug Powell

    The Food Safety Authority of Ireland has urged childcare workers and crèche owners to ensure they have robust hygiene practices in place to reduce the incidence of E coli.

    The authority has said it is concerned at the high levels of E coli infection here, with 285 cases of human infection provisionally recorded last year.

    There were nine outbreaks in children attending crèches, or who were cared for in the home by childminders.

    This involved some 75 children and adults becoming ill, with seven being hospitalised last year.

    The FSAI says young children and infants are particularly at risk from E coli infection, and children and workers in childcare settings can unwittingly spread infection.

    Washing hands is the single most important way to stop the spread of these E coli. Young children should be helped to wash and dry their hands. Babies need to have their hands washed as often as older children.

    As well as handwashing, infection can be prevented by using a safe water supply and preparing food hygenically.

    Staff are asked to stay away from childcare facilities for 48 hours if they have had diarrhoea or vomiting, and they should contact the Department of Public Health for advice to prevent more cases.

    The FSAI has just published a leaflet - How to Protect the Children in Your Care - which is freely available on www.fsai.ie.

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  • Posted: April 21st, 2012 - 9:52am by Doug Powell

    Public Health Wales and Torfaen County Borough Council with the Animal Health and Veterinary Laboratories Agency are investigating an outbreak of cryptosporidium associated with a farm in Cwmbran.

    Four people who have worked at Greenmeadow Community Farm have tested positive for cryptosporidium, and a further 13 possible cases in staff and volunteers are under investigation.

    The one adult and three teenagers who have tested positive had all bottle fed lambs and kid goats that had diarrhoea.

    There have been no reported cases of illness among members of the general public who visited the farm.

    Dr Lika Nehaul, Consultant in Communicable Disease Control for Public Health Wales, said:

    “The farm director instigated and has fully co-operated with our investigations. Handwashing after coming into contact with farm animals is of the utmost importance in preventing infection with cryptosporidium. There is no reason for anyone to avoid visiting petting farms as long as they ensure that anyone who has touched animals thoroughly washes their hands with hot water and soap immediately afterwards.”

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  • Posted: April 4th, 2012 - 7:45am by Doug Powell

    Sorenne’s school is doing the hatching-chicks-thing in anticipation of Easter (which is a surprisingly big deal in Australia) and I’ve been doing my best Dougie-Downer about handwashing, Salmonella, pestilence and death.

    In the northern Hemisphere, this is apparently the start of the petting farm season (didn’t have that one penciled in), so the UK Health Protection Agency is reminding people, especially those with responsibility for young children, to enjoy their farm visits safely by ensuring good hand hygiene after touching farm animals or their surroundings.

    Outbreaks of gastrointestinal illness associated with contact with farm animals peak in the spring and summer as this coincides with schools holidays when visits to petting farms tend to be more popular, although outbreaks can occur at other times.

    The route of transmission in these illnesses, which include the infections E. coli O157 and Cryptosporidium, is direct contact with animals in petting and feeding areas as well as contact with the droppings of animals on contaminated surfaces around farms.

    Dr Bob Adak, head of the gastrointestinal diseases department at the HPA, said, “… hand gels or wipes have their uses in areas that are generally clean, such as offices or hospitals, but they are not effective in completely removing from soiled hands bugs such as E. coli or Cryptosporidium that are commonly found in animal droppings and on contaminated surfaces around farms. This is why washing the hands thoroughly with soap and water is so important - it is the only way to effectively remove the bacteria and reduce the risk of becoming unwell.”

    Figures from the HPA’s national surveillance system show that there were 61 outbreaks of gastrointestinal illness associated with farms visits between 1992 and 2011. Twenty two of these outbreaks (36 per cent) occurred in the last three years (2009-11).

    Around half were caused by E. coli O157 and around half were caused by Cryptosporidium. A handful were caused by Salmonella. Overall 1,238 people were affected in these outbreaks – 1,003 people with Cryptosporidium and 235 with E. coli O157.

    A table of petting farm-related outbreaks is available at http://bites.ksu.edu/petting-zoos-outbreaks.

    We’ll have more to say about this once our research paper, led by Gonzalo, completes the peer review process and gets published.

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  • Posted: March 5th, 2012 - 11:05pm by Doug Powell

    British athletes are being told not to shake hands at the 2012 Olympics in London, a good idea considering that one-in-five hospitals – hospitals with sick people where everyone is supposed to religiously wash hands – in Australia suck at handwashing.

    The Australian government on Tuesday released data on the MyHospitals website about how often staff at 233 public hospitals clean their hands, against an interim benchmark of 70 per cent.

    It is the first time such information has been made publicly available.

    The figures show that about half of the country's major public hospitals are above the benchmark, while just over 30 per cent were similar to the current standard.

    Around 19 per cent were below the benchmark.

    The data are based on audits of hand hygiene moments - when there is a perceived or actual risk of pathogen transmission from one surface to another via someone's hands - in public hospitals between July and October last year.

    Meanwhile, Dr Ian McCurdie, the British Olympic Association (BOA) chief medical officer, told the Daily Mail that a mild bug which can knock athletes off their stride could be picked up in the "quite stressful environment" of the Games.

    When asked whether this means shaking hands should be off-limits, he said, “I think, within reason, yes.

    “I think that is not such a bad thing to advise. The difficulty is when you have got some reception and you have got a line of about 20 people you have never met before who you have got to shake hands with.

    'Within reason if you do and have to shake hands with people, so long as you understand that regular handwashing and/or also using hand foam can help reduce the risk - that would be a good point.'”

    The advice is part of a detailed package of health and resilience issues which the BOA has looked at ahead of the Games.

     

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  • Posted: February 29th, 2012 - 8:28pm by Doug Powell

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    Michele Samarya-Timm, one of our Jersey food safety friends, writes about another side of Davy Jones, who passed away last night at the age of 66.

    I had just submitted my Master’s Degree thesis…A Study of Foodhandler Education Programs Offered by Local Health Departments in New Jersey. The paper was a long time coming, and I decided to celebrate at Walt Disney World.

    While walking around Epcot with a graduation cap on my head, I turned a corner and came face-to-face with Davy Jones. Not an audio-animatronics replica, but the real Davy Jones of the Monkees. He asked me about my obviously impending degree, and became keenly interested in food safety as I discussed my research. We walked alone and uninterrupted for about 20 minutes as he peppered me with intelligent questions about handwashing, time and temperature controls, and the role of public health. That impressed me more than anything he had ever done on TV.

    His concert that night was kitschy, full of 1960’s and Brady Bunch references. And a nod to “the girl graduating next week.”

    I was saddened to hear of his death. At least we had time for a bit of conversation.

    Not a trace of doubt in my mind…Davy Jones was a food safety believer. Too bad it’s a side the rest of his fans never got to see.

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  • Posted: February 15th, 2012 - 6:53pm by Doug Powell

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    Sprouts are not a health food. But there’s lots of other food safety myths. USA Today's Elizabeth Weise spoke with food safety experts to pull together a list of the most common food safety myths.

    * Mayonnaise is a death trap.

    Actually, mayonnaise is an ingredient "with penicillin-like properties," says Don Zink, senior science adviser for the Food and Drug Administration's Center for Food Safety and Applied Nutrition in College Park, Md. Mayo is a homogenized mixture of oil and water, with egg white to stabilize it. The salt and vinegar or lemon juice makes the tiny droplets of water suspended in the mixture deadly to microbes. So for a safer salad, don't hold the mayo. Putting in more mayonnaise only makes it safer, he says. No, not forever, but certainly long enough for a picnic.

    • Pink pork is a no-no.

    Not any more. Last year, the U.S. Department of Agriculture revised its decades-old guidelines and now says that pork, and all whole meat cuts, have to get to only 145 degrees internally, not the 160 the agency had previously suggested. That means a pork roast can have a rosy interior, not the dead gray of your mom's roast. The change comes because despite everything you were ever told, there's no trichinosis in commercial pigs. The parasitic disease is caused by eating raw or undercooked meat infected with roundworm larvae. It was a problem years ago, but no longer exists in commercially grown pork, according to the National Pork Board in Des Moines.

    • You can smell when food's gone bad.

    Microorganisms divide into two main groups, those that cause spoilage and those that cause disease. There's some overlap, but many bacteria that cause disease don't cause overt spoilage. "You could have loads of E. coli or salmonella or listeria in a food and it would not appear to be spoiled or have any off-odor or flavor," says the FDA's Don Zink. The only real way to judge the safety of a food is by what you know about how it was prepared and stored.

    • You should wash produce and meat.

    This one seems like a no-brainer: Washing makes things cleaner, right? Wrong. People think they can make produce safer by rinsing it under the tap, but that's a holdover from the days when they carried in vegetables straight from the garden, still dripping with dew, dirt and the occasional slug. Bagged leafy greens don't need to be washed at all. "Just open the bag and put them in the salad bowl," says the FDA's Zink. They were already washed in a sanitizing solution at the packing plant and frankly it was probably a lot cleaner than your kitchen.

    Micro-organisms actually bond to the surface of the food item. "You are not going to rinse them off, it simply won't happen, they cannot be washed off," he says.

    All washing might do is "remove the snot that some 3-year-old blew onto the food at the grocery store," says the ever-forthright Powell at Kansas State. Washing "lowers the pathogen count a little, but not to safe levels if it's contaminated."

    Even though half the recipes involving meat tell you to rinse it off (especially chicken and turkey), this is unnecessary and actually dangerous, says Elisabeth Hagen, under- secretary for food safety at the U.S. Department of Agriculture. "Rinsing meat or poultry with water can actually increase your chance of food poisoning by splashing raw juices and any bacteria they might contain onto your sink and counters."

    • If the water touched your hands, they're clean.

    Think a quick rinse of your hands before you handle food is good enough? Nice try. A good hand-washing takes at least 20 seconds, says Doug Powell, a professor of food safety at Kansas State University in Manhattan, Kan., who has written research papers on the topic. The real cleansing is done by the friction and force of rubbing your hands together, along with the soap. The temperature of the water doesn't really matter, as it takes 160 degrees to kill bacteria, which would be fine except water that hot would also give you third-degree burns. But warm water does make it more likely you'll spend the necessary 10 seconds scrubbing under vigorously flowing water. And then another 10 seconds of vigorous rubbing with a towel. "The friction rips the microbes off your skin," says Powell. If you really want to go for the gusto, invest in a nail brush. "Because if you had a Number Two and you experienced 'slippage' with your toilet paper, that's where the pathogens go, under your nails."

     

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  • Posted: January 26th, 2012 - 5:54am by Doug Powell

    James Gorman of the New York Times writes that disgust is having its moment in the light as researchers find that it does more than cause that sick feeling in the stomach. It protects human beings from disease and parasites, and affects almost every aspect of human relations, from romance to politics.

    In several new books and a steady stream of research papers, scientists are exploring the evolution of disgust and its role in attitudes toward food, sexuality and other people.

    Paul Rozin, a psychologist who is an emeritus professor at the University of Pennsylvania and a pioneer of modern disgust research, began researching it with a few collaborators in the 1980s, when disgust was far from the mainstream.

    “It was always the other emotion,” he said. “Now it’s hot.”

    Speaking last week from a conference on disgust in Germany, Valerie Curtis, a self-described “disgustologist” from the London School of Public Hygiene and Tropical Medicine, described her favorite emotion as “incredibly important.”

    She continued: “It’s in our everyday life. It determines our hygiene behaviors. It determines how close we get to people. It determines who we’re going to kiss, who we’re going to mate with, who we’re going to sit next to. It determines the people that we shun, and that is something that we do a lot of.”

    It begins early, she said: “Kids in the playground accuse other kids of having cooties. And it works, and people feel shame when disgust is turned on them.”

    Dr. Curtis is involved in efforts in Africa, India and England to explore what she calls “the power of trying to gross people out.” One slogan that appeared to be effective in England in getting people to wash their hands before leaving a bathroom was “Don’t bring the toilet with you.”

    Whatever the fine points of disgust, its power to affect behavior is unquestioned, and that power ought to be put to good use, Dr. Curtis said. So, in one of her projects, she has worked with an Indian public relations agency to come up with a disgust-based campaign to encourage hand washing among mothers in small villages, which could save countless children’s lives lost to diarrhea and other diseases.

    The result, now being tested, is a skit involving two characters, one a supermom and the other a disgusting, dirty man. The man makes sweets using mud and worms, stops in the middle of the performance to rush off because he has diarrhea, never washes his hands and does everything possible to be revolting.

    Supermom is scrupulously clean. Her children don’t get sick, the skit makes clear. In fact, her baby grows up to be a doctor. She washes her hands all the time.

    The prominence of diarrhea in the skit is no accident. One thing about studying disgust, Dr. Curtis said, is that it makes you realize how important it is to talk about the very things that disgust us, because they often present dangers to public health.

    “We need to talk about” excrement, she said, using a punchier single-syllable word for maximum effect — a word she is unapologetic about using, as befits a disgustologist.

    “Which is worse?” Dr. Curtis asked. To talk about it, “or to make kids die.

    Shock and shame.

    We’ve been using disgust for a long time. It is called barfblog.

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  • Posted: December 10th, 2011 - 5:04pm by Doug Powell

    The Minnesota Department of Health on Friday said at least 60 people became sick after eating contaminated food at two events at downtown Duluth’s Greysolon Plaza Ballroom on Dec. 3.

    That report was up from 40 people as of Thursday.

    Trisha Robinson, a senior epidemiologist with the health department, said it appears the culprit was norovirus, the most common food-related illness in Minnesota, which is often spread by food-handlers who don’t thoroughly wash their hands.

    People who have been ill should also refrain from preparing food, commercially or for their own families, for an additional 72 hours after they recover, Robinson said. The virus, which moves from anal to oral contact, is not easily spread by casual contact but moves fast through contaminated food.

    Greysolon Ballroom remains open and able to serve food, Robinson said, but Department of Health staff members have been on site to make sure the facility is taking proper precautions to prevent the problem from happening again.

    About 250 people attended one event and 100 attended the other at the Greysolon, state officials said. One was a wedding and the other a private party.

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  • Posted: November 26th, 2011 - 4:17pm by Doug Powell

    This is a CBS News video of the Arrowsight handwashing video monitoring system that has been used to dramatically increase handwashing compliance rates at North Shore University Hospital in Manhasset, N.Y.

    The same system is now being widely used by meat companies in an effort to reduce E. coli and other contamination inside processing plants.

    According to a Wall Street Journal article earlier this month, the new technique allows remote auditors to watch whether plant workers follow safety protocols aimed at reducing the spread of deadly bacteria.

    JBS SA, the world's largest beef processor, saw a 60% drop in the level of E. coli found by company inspectors after it installed monitoring cameras, said John Ruby, head of technical services for the company's beef division. The Brazilian meat processor started with a pilot program after it recalled 380,000 pounds of beef that sickened 23 people in nine states in 2009.

    A trial run at its Souderton, Pa., plant showed an immediate improvement in results, so the company placed cameras in all eight of its U.S. plants.

    "We are seeing increased interest among meat companies in remote video auditing as part of their food safety and animal welfare programs," said J. Patrick Boyle, president of the American Meat Institute, which represents most beef and pork packing companies. "Those who have implemented these programs have reported very good results."

    Cargill Inc., another major U.S. beef producer, uses video cameras to make sure its cattle are treated humanely before they are slaughtered. The Minneapolis-based company is now considering an expansion to monitor for food safety in its pork and turkey operations, according to Mike Siemens, head of the company's animal welfare division.

    Aurora, Ill.-based OSI Group LLC., a meat processor, for several years has used video cameras to monitor employees in three of its five U.S. plants for general food-safety practices. The company, which supplies McDonald's and other companies with bacon, sausage and chicken, decided in June to expand the monitoring to its other two plants.

    After the JBS results, the Agriculture Department—the government agency responsible for overseeing the safety of the U.S. meat supply—in August released voluntary guidelines for video monitoring at meat companies.

    In some cases, companies are watching to see if sloppy work is allowing meat contamination. They are also using the cameras to make sure employees aren't mistakenly sending the expensive cuts into hamburger grinders.

    Arrowsight has two facilities—one in Huntsville, Ala., and one in Visakhapatnam, India—employing 50 people to monitor meat-cutting operations. The company was wary about using workers in India, where parts of the country outlaw cattle slaughter, to monitor beef production.

    But it hasn't had problems with that, Mr. Aronson said. Arrowsight routes the most graphic slaughter video to its staff in Huntsville, he said.

     

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