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Ivano-Frankivsk National Ivano-Frankivsk National Medicine UniversityMedicine University
Chair of Ceneral Hygiene and Chair of Ceneral Hygiene and EcologyEcology
as. Profes. NELLI KRUTIKOVA
FOOD STATUS AND ITS KIND.
HYGIENIC CHARACTEROF PROTECTIVE
RATIONS.HYGIENIC CHARACTER
OF SOME FOOD. FOOD POISONINGS AND
THEIR PROPHYLAXIS.
1.1. Food status and its kinds.Food status and its kinds.2.2. Classification of food status and Classification of food status and
diseases connected with nutrition.diseases connected with nutrition.3.3. Biological essence of nutrition.Biological essence of nutrition.4.4. Types of nutrition and their hygienic Types of nutrition and their hygienic
character.character.5.5. Classification of food poisonings.Classification of food poisonings.6.6. Hygienic character of some food Hygienic character of some food
poisonings and their prophylaxis.poisonings and their prophylaxis.
Plan of lecture
THERE ARE 4 KINDS OF FOOD STATUS
1. Usual food status2. Optimum food status3. Deficient food status4. Surplus food status
1. THE USUAL FOOD STATUS corresponds to normal nutrition, which meets all the requirements of rational nutrition.
2. THE OPTIMUM FOOD STATUS if formed under special food rations, which provide high level of the human organism bioresistane in the extreme and stressful conditions.
3. THE DEFICIENT FOOD STATUS is characterized by presence of changes in a health condition, which appears after complete incomplete starvation.
4. THE SURPLUS FOOD STATUS develops during consumption of a high quantity of food or its components exceeding a physiologicul need.
NUTRITION DISTURBANCES DISEASES ARE DIVIDED INTO
2 LARGE GROUPS:1. Diseases of insufficient nutrition2. Diseases of excessive nutrition
TWO PROCESSES ARE BALANCED IN THE
ORGANISM
1. Assimilation is the process of the tissue biosynthesis.
2. Dissimilation is the preess of breaking down polymeric molecules into the simple ones and their removal from the organism.
PHYSIOLOGICAL AND HYGIENIC REQUIREMENTS TO RATIONAL NUTRITION
1. Nutrition must be adequate to its quantity ratio.
2. It is the law of quantity adequacy.3. It means that a person must get the
same quantity of energy that he spends every day.
4. Quantity adequacy of nutrition depends on the type of work.
THE ARE 4 PROFFESSIONAL
GROUPS OF WORKERS Workers occupied with mental work
CFA=1,4 Workers occupied with light
physical work CFA=1,6 Workers occupied with not hard
work CFA=1,9 Workers occupied with hard
physical work CFA=2,3
DISTRIBUTION OF DAILY RATION CALORIC VALUE FOR ADULTS
(in % to total caloricity)MEALS 4
TIMES3
TIMESBreakfast 25 30
The second breakfast 10 -
Dinner 45 50Tea -
supper 20 20
FUNCTIONS OF SEPARATE COMPONENTS OF NUTRITION
PROTEINS (g)58-107 (per day)
55% animal proteins
50-84(per day)
55% animal proteins
FATS (g) 58-10830% of vegetable fats
51-8530% of vegetable fats
CARBOHYDRATES (g)
336-62475g – starch20g – sugar
228-48875g – tarch20g – sugar
MAN WOMAN
Proteins – 11% of the day caloricityFats – 25% of the day caloricity
Carbohydrates – 64% of the day caloricity P:F:C= 1:1:5,8
MINERAL SUBSTANS
Calcium (Ca), mg 1200 1100
Phosphorps (P), mg 1200 1200
Magnesium (Mg), mg 400 400
Iron (Fe), mg 15 17
Fluorine (F), mg 0,75 0,75
Iodine (I), mg 0,15 0,15
MAN WOMAN
VITAMINS
E, mg 15 15D, mcg 2,5 2,5A, mcg 1000 1000B1, mg 1,6 1,3B6, mg 2,0 1,8PP, mg 22 16C, mg 80 70
MAN WOMAN
A – 1000 mcg1/3 retinols + 2/3 B-carrotin
300 mcg 700 mcg 700 × 6 = 4200 mcg
ILLNESSES CAUSED BY IMPROPER NUTRIENT
CONSUMPTIONNUTRIENTS DEFICIENCY EXCESS
Calories StarvationObesity, diabetes
mellitus, cardiovascular
diseaseSimple
carbohydrates Marasmus, starvation Diabetes mellitus
Complex carbohydrates Marasmus, starvation Obesity
Saturated fat / trans fat none Cardiovascular
diseaseUnsaturated fat Rabbit starvation Obesity
ILLNESSES CAUSED BY IMPROPER NUTRIENT
CONSUMPTIONNUTRIENTS DEFICIENCY EXCESS
Cholesterol None Cardiovascular disease
Protien MarasmusKetoacidosis, rabbit starvation, kidney
disease
Sodium Hyponatremia Hypernatremia, hypertension
Iron Anaemia Hepatitis C, cirrhosis, heart disease
Iodine Goitre, hypothyroidism
Iodine Toxicity (goitre,
hypothyroidism)
ILLNESSES CAUSED BY IMPROPER NUTRIENT
CONSUMPTIONNUTRIENTS DEFICIENCY EXCESS
Vitamin A Xeropathalmia and Night blindness Hypervitaminosis A
Vitamin B1 Beri-beri
Vitamin B2Cracking of skin and Corneal unclearation
Niacin Pellagra Dyspepsia, cardiac arrhythmias
Vitamin B12 Pernicious anaemiaVitamin C Scurvy Vitamin D Rickets Hypervitaminosis DVitamin E Hypervitaminosis EVitamin K Hemorrhage
FOOD POISONING Food poisonings are diseases of the acute
and sub-acute character, which appear on consumption of the containing in products of substances, which are
harmful for the human’s organism or poisonory ones of the microbial or non-
microbial origin. The general clinical symptoms of food poisonings are nausea,
vomiting, pains in stomach, diarrhea, sometimes rise of body temperature.
MICROBIAL ORIGIN
NON-MICROBIAL
ORIGIN
NON-IDENTIFIED
ORIGIN
CLASSIFICATION OF FOOD POISONINGS
MICROBIAL ORIGIN
TOXICO-INFECTIONS TOXICOSES MIXED
ETIOLOGY
BACTERIAL TOXICOSES MYCOTOXICOSIS
TOXICOINFECTIONS
Potentially pathegenic microorganisms: Proteus mirabils and vulgaris, E. coli (enteropathogenic serotypes), Bac. cereus, Cl. perfingens type A.
E. coli
TOXICOSES
Bacterial toxicosesProduced by
Staphylococcus aureus and Cl. botulinum
Mycotoxicosis Produced by
microscopic fungi of genus of Aspergillus, Fusarium and also Claviceps Purpurea, etc
Cl. botulinum
Botulism – is a sausage poisoning. It is widely spread food poisoning. The word “botulism” comes from the Latin word “Botulus”. It means
sausage. Bacillus botulinum produces a specific exotoxin. The lethal dose of the botulinum toxin for man is 0,035 mg. Botulism is a non-contagious
disease. Its agents are widely spread in the nature. The sources of botulism are warm-blooded animals, in whose intestines the bacillus of
botulism parasitizes and then excretes into the environment.Contamination of priducts
with the soli is very important. Typically there
is a nest-like contamination of food products (sausages,
ham and fish).
MIXED ETIOLOGY
Bac. Cereus and enterotoxic staphylococcus, Bac. Proteus and enterotoxic staphylococcus
NON- MICROBIAL
ORIGIN
POISONINGS OF POISONOUS
PLANTS AND ANIMALS TISSUES
POISONINGS FROM THE
PRODUCTS OFTHE PLANT ANDANIMAL ORIGIN
PLANTS THAT ARE POISONED
BY THEIR NATURE
ANIMAL TISSUES
THAT AREPOISONED BY THEIR NATURE
POISONINGSWITH
CHEMICALSUBSTANCES
PRODUCTS OF PLANT ORIGIN
PRODUCTS OF ANIMAL ORIGIN
NON-IDENTIFIED ORIGIN
Alimentary paroxysmaltoxic myoglobinuria: (Gaffskaia disease) – fish grains of some areas of world in
some years.
STAGES OF DECREE:
4. Explaining of the final diagnosis.
1. Preliminary diagnosis, that had to be given after bringing to the hospital first sick people.
2. Food product which was the origin of poisoning.
3. Consistency of actionsof treating doctor makingthe investigation of present acsident.
5. Make the actions to destroy the fire of existing food poisoning.
6. Make the plan of consultingspeech for people to escape the next acsidents of food poisoning.
MAIN PRINCIPLES OF PROPHYLAXIS OF MICROBIAL
FOOD POISONING
The food animals must be free from infections. This can be ensured by their examination by veterinary staff both before and after slaughter, a high standard of personal hygiene among individuals engaged in the handling, preparation and cooking food is needed.
Time between preparation and consumption of food should be kept short.The importance of rapid cooling and storage must be stressed.Milk, dairy products and egg products should be pasteurised.Food must be thoroughly cooked.
The medical inspection of food handlers is required; this is of limited value in the detection of carriers, although it will remove some sources of infection.