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Feeding the Community Safely was developed by the Maryland Cooperative Extension, University of Maryland, College Park and Eastern Shore and the Purdue Extension Service, Purdue University.

The program has been endorsed by the Maryland Department of Health and Mental Hygiene.

Feeding the Community- SAFELY!

FOODBORNE ILLNESS

MODULE 1

Foodborne illness:It’s in the news.

A look at the numbers... Every year diseases caused by

pathogens in food results in an estimated:

325,000 serious illnesses resulting in hospitalization

76 million cases of gastrointestinal disease

>5,000 foodborne associated deaths

Foodborne illness

“... when a person becomes ill after

ingesting a contaminated food...”

Foodborne illness can be caused by: Biological hazards (bacteria, viruses) Chemical hazards (cleaning agents,

toxins) Physical hazards (bone, glass, metal)

Symptoms of foodborne illness

Nausea Vomiting Diarrhea Fever Headache

Who is most at risk?

At-risk populations: Infants Elderly Pregnant women Immunocompromised

population

Where does contamination occur?

Food retail40%Other

40%

In the home15% Food processor

5%

(Centers for Disease Control and Prevention)

Causative agents implicated in foodborne illness

Viruses 6%

Bacteria90%

Parasites 1%

Chemical 2%

(Centers for Disease Control and Prevention)

Sources of contamination

Food handler Food contact surfaces

(cutting board, grinder) Animals, insects, rodents Water, air, soil Food!! (raw)

Contributing factors of foodborne illness

Improper hot-holding

10%

Cross cont. 5%

Cleaning 5%Leftovers 3%

Improper cooling

26%

Raw food cont. 7%Improper

reheating 8%

Infected person 13%

Time lapse 14%

Improper cooking

10%

(Centers for Disease Control and Prevention)

Causes of foodborne illness

Temperature abuse

Poor personal hygiene

Cross-Contamination

Prevention of foodborne illness

Practice good personal hygiene Prevent cross contamination Avoid temperature abuse

– Proper cold storage– Proper thawing– Proper cooking– Proper cooling– Proper reheating– Proper hot holding

Potentially hazardous foods

“...foods that can support the growth of harmful bacteria...”

Foods high in protein Foods low in acid Foods high in moisture

Examples of potentially hazardous foods

Beef, pork, and poultry Seafood Eggs Cooked Rice and pasta Fruits and vegetables Beans and potatoes Milk and dairy products

Bacterial growth

At time = 0 minutes:

1 bacterial cell

At time = 15 minutes:

2 bacterial cells

At time = 30 minutes:

4 bacterial cells

GOOD PERSONAL HYGIENE

It is all about you!

MODULE 2

What you cannot see can cause foodborne illness..

Common foodborne diseases spread by poor hygiene

Hepatitis A Norwalk virus Shigella E coli O157:H7 Salmonella typhi Staphylococcus aureus

Handwashing steps

Warm water Soap Lather

Friction for 20 seconds

Rinse Dry with paper towel

A Survey of Handwashing Behavior

Prepared for:American Society for Microbiology

September 2000

Conducted by:Wirthin Worldwide

• Wirthlin Worldwide observed the behavior of 7,836 individuals in public restrooms and recorded whether or not they washed their hands after using the facilities. The research was conducted in 5 different cities:

City & Site Date(s) Males Females Total

Chicago, Navy Pier 8-26 1061 1536 2597

New Orleans, Treasure Chest Casino 8-24, 8-27 847 666 1513

San Francisco, Golden Gate Park 8-24, 9-2 259 294 553

Atlanta, Braves Baseball Game 8-27 365 525 890

New York City, Grand Central Station & Penn Station 8-24, 8-28 1057 1226 2283

Actual handwashing behavior after using public restrooms is lower than reported!

95%

92%

97%

67%

58%

75%

Total

Males

Females

Say they always wash their hands (survey of 1,021 adults)

Observed washing their hands (7,836 adults observed)

Cuts and abrasions

Clean the wound Cover with clean dry bandage Wash hands Cover with disposable glove Change gloves at appropriate

handwashing intervals

Tobacco use

Never while preparing or

serving food Never around equipment or

dishwashing areas ONLY in designated break

areas Wash hands after smoking

Hair restraints

Acceptable: Hats, nets, and hair coverings

Wear restraints consistently

Restrain beardsSecure long hair under

restraints

Non - acceptable practices

Coming to work when ill Poor personal hygiene Un-clean work clothes False fingernails and nail polish Jewelry Uncovered cuts, scrapes, and burns

MODULE 3

PREVENTING

CROSS-CONTAMINATION

Cross-Contamination Cross-contamination is the transfer of harmful

substances or micro-organisms to food by: human hands food contact surfaces cleaning cloths, equipment, utensils,directly from a raw food to a ready-to-eat food.

How does it happen? Improper storage practicesContact with food workersFood and/or ingredient contaminationContact with food contact surfaces of

equipment, utensils, and wiping clothsContamination from iceContamination by consumers

Protecting stored food

Keep food storage areas clean and sanitary

Use “F.I.F.O.”Properly store foods away from toxic

items such as cleaning agents

Protecting stored food

Store foods on shelves at least six inches above the floor

Prevent insect and rodent infestationPrevent leakage from overhead pipes

Cold storage

Use refrigerator to keep foods at an internal product temperature of <41°F

Top to Bottom storageAvoid overloading the refrigeratorNever line the shelvesUse freezer to store already chilled or

frozen foods at a temperature of <0° F Code of Maryland regulations

Contamination by food handlers

Inadequate handwashing Untrimmed fingernails Soiled clothingEating, drinking, or using tobaccoImproper use of hair restraints

Contamination by food handlers

Food handlers working while ill Discharges from eyes, nose and

mouthCuts, scrapes and bruises

Contamination from food contact surfaces

Improperly washed or sanitized equipment

Knives Cutting boards can openers

Grinders Slicers

Improper storage of in-use utensils

Spoons Tongs ice scoop

Food scoops Frozen dippers

Store equipment in a clean, protected location

Contamination from wiping cloths

Store wiping cloths in sanitizer when not in use

DO NOT store cloths on equipment or preparation surfaces

Wash, rinse and sanitize

Three compartment sinkSeparate handwashing sink

Wash, rinse, sanitize

Contamination from ice

Ice used for cooling food in storage must not be used or sold for human consumption

Metal scoops should be used to serve ice

Cross - contamination from consumers

Provide clean tableware for second portions and refills

Make policies for use of personal refillable take-out beverage containers

Have provisions for condiment protection

MODULE 4

AVOIDING

TEMPERATURE ABUSE

The temperature “danger zone”

41°

135°

Code of Maryland Regulations

Three rules for temperature control

Keep potentially hazardous foods out of the temperature danger zone

Pass potentially hazardous foods through the danger zone as quickly as possible

Pass potentially hazardous foods through the danger zone as few times as possible

Proper methods for thawing, cooking,

cooling, and reheating foods

Thawing In the refrigerator: less than 41o F Under potable running water: 70o F

or below In the microwave oven: cook foods

immediately after thawing

NEVER thaw at room temperature!

Code of MD Regulations

Cooking

Cook all potentially hazardous foods to minimum required temperatures

Measure the temperature at the thickest part of the food product (usually the center) with an accurate thermometer

Final cooking temperatures

Poultry and stuffed meats: 165o F for at least 15 seconds

Ground beef and pork: 155o F for at least 15 seconds

Pork, ham, sausage and bacon: 155o F for at least 15 seconds

All other potentially hazardous foods: 145o F for at least 15 seconds Code of MD

Regulations, FDA

Final cooking temperaturesRare Beef Roasts:

140 ° F for at least 12 minutes

or

130 ° F for at least 121 minutes

Code of MD Regulations, FDA

Microwave cooking

Rotate and stir during cooking Cover food to retain moisture Allow to stand covered for 2 minutes

to evenly distribute the temperature

Cooling foods rapidly Smaller portions: break larger food

products down to smaller sizes Shallow pans: no more than 2 inches

deep for thick foods and no more than 3 inches deep for thinner foods

Cooling foods rapidly

Ice bath: place containers of hot food into a sink or other container filled with ice

Stir food frequently to accelerate cooling Remove lids of containers in coolers or

on ice ONLY during cooling

Cooling rates for chili: ice bath vs. walk-in cooler

0

20

40

60

80

100

120

140

160

180

200

12:00 1:00 1:30 2:00 2:30 3:00 4:00 4:30 5:00 5:30 6:30 7:00 8:00 9:00

ice bathwalk-in

Proper methods for reheating foods

Potentially hazardous foods must be re-heated to 165o F in 2 hours or less

Conventional stoves, ovens, steamers, and microwave ovens are approved for re-heating use

Crockpots and steam tables are NOT approved because they do not rapidly heat foods.

Temperature measurement Thermometers: digital or dial type

with metal stem Thermocouple: separate probe

handle

Liquid-filled thermometers (alcohol

or mercury) are NOT to be used

Thermometer accuracy and calibration

All thermometers that are used to check food temperatures must be calibrated regularly to ensure accuracy

Only thermometers that are accurate and can be calibrated should be used

Proper use of thermometers

The sensing portion of the thermometer must be clean and sanitized

The sensing portion of the thermometer must be positioned in the center-most region of the food product or container

Make certain the thermometer temperature has stabilized before taking a reading

Preventing cross - contamination

Clean the probe of the thermometer with a single-service towel or alcohol swab, or rinse in a sanitizing solution when transferring to different foods

Thermometers can also be sanitized by submerging in hot water (> 180o F)

Clean and sanitize the probe when moving from raw to cooked or ready-to-eat foods

Don’t wipe probes on a soiled cloth or apron!

Food Safety Team- Dianne Miiller, Cassandra Corridon, Sharon Gandy, Madeleine Greene, Mark Kantor

Adapted from “Food Safety Day, Richard Linton, Purdue University

-!

Audits International Food Safety Survey

Acceptable26%

Unacceptable74%

Most Frequently Observed Critical Violations

Improper chemical storage

20%

Improper food preparation techiques

21%Neglected

handwashing29%

Improper leftover cooling

29%

Cooking temps too low

19%Cross

Contamination31%

Cross Contamination

Improper leftover cooling

Neglected handwashing

Improper food preparationtechiques

Improper chemical storage

Cooking temps too low

Cold storage

Use refrigerator to keep foods at an internal product temperature of <40°F

Top to Bottom storageAvoid overloading the refrigeratorNever line the shelvesUse freezer to store already chilled or

frozen foods at a temperature of <0° F USDA

Cold storage

Use refrigerator to keep foods at an internal product temperature of <41°F

Top to Bottom storageAvoid overloading the refrigeratorNever line the shelvesUse freezer to store already chilled or

frozen foods at a temperature of <0° F FDA

The “temperature danger zone”

USDA

The temperature “danger zone”

41°

135°

FDA

Thawing In the refrigerator: less than 40o F In the sink with room temperature

water In the microwave oven: cook foods

immediately after thawing

NEVER thaw at room temperature!USDA

Thawing In the refrigerator: less than 41o F Under potable running water: 70o F

or below In the microwave oven: cook foods

immediately after thawing

NEVER thaw at room temperature!

FDA

Final cooking temperatures

Poultry and stuffed meats: 180o F Ground beef and pork: 160o F Pork, ham, sausage and bacon: 160o F All other potentially hazardous foods: 160o F

USDA

Final cooking temperaturesBeef Roasts:

Medium rare- 145°

Medium- 160°

Well done- 170°

USDA

HACCPA Hazard Analysis Critical Control Point

food safety system

Identify the foods and procedures that are most likely to cause foodborne illness

Build in procedures that reduce the risks of foodborne outbreaks

Monitor all procedures to ensure food safety

FIGHT BAC!Clean

Wash hands and surfaces often.

SeparateDon’t cross-contaminate.

CookCook to proper temperatures.

ChillRefrigerate promptly.