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7/18/2019 FS-0402
1/22
FS0602 1 2000
Module 04 Lecture 02Module 04 Lecture 02
Factors contributing toFactors contributing tofoodborne illnessfoodborne illness
7/18/2019 FS-0402
2/22
FS0602 2 2000
Summary of factors contributingSummary of factors contributing
to foodborne illnessto foodborne illness
Cross-contamination
Unclean equiment
Unsound ! un"#olesome food
C#emical contamination
$nsects ! rodents
$nfected #andlers
Contamination
$nadequate coo%ing ! re#eatingSurvival
$nsufficient cooling ! #ot #oldingGrowth
7/18/2019 FS-0402
3/22
FS0602 & 2000
Factors contributing to F'( outbrea%sFactors contributing to F'( outbrea%s
in )ngland and *alesin )ngland and *ales
%Outbreaks
+ ,rearation too far in adance 60.6
+ Storage at ambient temerature &/.6
+ $nadequate cooling &1./
+ $nadequate re#eating 2.
Contaminated rocessed food e3cluding canned 1/.1
+ Undercoo%ing 15.4
+ $nadequate t#a"ing 6.1
Cross-contamination 5./ $nfected food #andlers 5.2
a" food consumed 4.4
Contaminated canned food 4.4
+ 7ime-temerature abuse
7/18/2019 FS-0402
4/22
FS0602 4 2000
,laces "#ere food in,laces "#ere food in
outbrea%s "as mis#andledoutbrea%s "as mis#andled
Food serice &4.0 &2.6
8omes 14. 14.6
Food rocessing 2. 5.5
etail food - 4.1
Farms - 0.2
9t#er - 1.2
Un%no"n 4.5 41.
% Outbreaks
USA Canada
7/18/2019 FS-0402
5/22FS0602 5 2000
Food #andling faults inFood #andling faults int#e #ome connected tot#e #ome connected to
F'( outbrea%s in t#e US:F'( outbrea%s in t#e US:
$nadequate cooling &6$nadequate coo%ing 2/
,reared too far in adance 14
Contaminated ra" food 1&
Faulty fermentation 11
$nadequate re#eating
$nfected erson 6
Cross-contamination 4
% Outbreaks
7/18/2019 FS-0402
6/22FS0602 6 2000
Food #andling faults in foodFood #andling faults in food
serice establis#ments in t#e US:serice establis#ments in t#e US:
$nadequate cooling 64
,reared too far in adance &/$nfected ersons &4
$nadequate re#eating 24
$nadequate #ot storage 21
$nadequate cleaning 10
Cross-contamination 10
% Outbreaks
7/18/2019 FS-0402
7/22FS0602 2000
Factors contributing to F'(Factors contributing to F'(
;ey messages;ey messages
7#e factors contributing to F'(are similar in all countries studied
7#ey are related to Contamination
7/18/2019 FS-0402
8/22FS0602 2000
Food #andlers - t#e imortanceFood #andlers - t#e imortance
of ersonal #ygieneof ersonal #ygiene
Objectives
$dentify t#e diseases for "#ic# food
#andlers can be sources of infection
9utline #o" t#e sread of infection can be
reented
)m#asise t#e imortance of education and
training at all oints of t#e food c#ain
7/18/2019 FS-0402
9/22FS0602 / 2000
Faecal e3aminationsFaecal e3aminations
Uses (etection of cases ! carriers
Limitations
Small samle tested Li%ely to be ositie if t#e erson
#as diarr#oea Could be negatie if t#e erson is
on antibiotics Single secimens alid on day of
testing only
Not a substitute for personal h!iene"
7/18/2019 FS-0402
10/22FS0602 10 2000
Common routes of cross -Common routes of cross -contaminationcontamination
Food #andler
"#o is a carrier
of infection
Food #andler
"#o is a carrier
of infection
CustomerCustomer
Food rearation area
Food #andlersFood #andlers
Surfaces
efrigerator
MealsMeals
Coo%ed food
a" fooda" food
7/18/2019 FS-0402
11/22FS0602 11 2000
eort illness ors%in comlaints
: teac#ing c#art: teac#ing c#art
:oidtouc#ing
ears= nose= lisand #air
,ic% u cutleryand glasses by
#andles or stems
Coer cuts
*earrotectie
clot#ing and #eadcoer
Clean #ands=nails and #air
7/18/2019 FS-0402
12/22FS0602 12 2000
,oster,oster
:fter-Using t#e *C= blo"ing your nose=#andling ets or refuse
:fter-Using t#e *C= blo"ing your nose=#andling ets or refuse
:l"ays "as# your #ands
before #andling food and
after#andling ra"
Fis# ,oultry
Meat
>egetables
Fruit
)ggs
:l"ays"as# your #andsbefore#andling food and
after#andling ra"
Fis#
,oultry
Meat
>egetables
Fruit
)ggs
7/18/2019 FS-0402
13/22
FS0602 1& 2000
,ractices t#at reent or,ractices t#at reent or
reduce ris% of F'( in c#ildrenreduce ris% of F'( in c#ildren
#eedin! children
'reast feeding
(elayed onset of "eaning until 4-6 mont#s
Feeding roerly reared= safe sulements"it# clean utensils
7#oroug# coo%ing of "eaning foods
Minimum delay bet"een rearation andfeeding
7/18/2019 FS-0402
14/22
FS0602 14 2000
1. C#oose foods rocessed for safety
2. Coo% food t#oroug#ly&. )at coo%ed foods immediately
4. Store coo%ed foods carefully
5. e#eat coo%ed foods t#oroug#ly
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
15/22
FS0602 15 2000
6. :oid contact bet"een ra" foods andcoo%ed foods
. *as# #ands reeatedly. ;ee all %itc#en surfaces meticulously
clean
/. ,rotect foods from insects= rodents=and ot#er animals
10. Use safe "ater
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
16/22
FS0602 16 2000
1. C#oose foods rocessed for safety
2. Coo% food t#oroug#ly
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
17/22
FS0602 1 2000
&. )at coo%ed foods immediately
4. Store coo%ed foods carefully
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
18/22
FS0602 1 2000
5. e#eat coo%ed food t#oroug#ly
6. :oid contact bet"een ra" foods
and coo%ed foods
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
19/22
FS0602 1/ 2000
. *as# #ands reeatedly
. ;ee all %itc#en surfaces
meticulously clean
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
7/18/2019 FS-0402
20/22
FS0602 20 2000
7#e *89 golden rules7#e *89 golden rules
for safe food rearationfor safe food rearation
/. ,rotect foods from insects=rodents= and ot#er animals
10. Use safe "ater
7/18/2019 FS-0402
21/22
FS0602 21 2000
$nfected food #andlers may transmitfoodborne disease
7#e ris% t#at a food #andler "ill transmit adisease deends on #is "or%
,ersons "it# diarr#oea= omiting= feer=sore t#roat= infected s%in lesions s#ould
not "or% "it# food Food #andlers must reort all illnesses
Medical e3aminations are alid only at t#etime t#ey are carried out
$mortance of food #ygiene$mortance of food #ygieneand ersonal #ygiene -and ersonal #ygiene -
;ey messages;ey messages
7/18/2019 FS-0402
22/22
FS0602 22 2000
Faecal e3aminations are of limited alue