Food and drink safety
Upcoming SlideShare
Loading in...5
×
 

Food and drink safety

on

  • 1,277 views

How to prepare and conduct your medical missions trip safely.

How to prepare and conduct your medical missions trip safely.

Statistics

Views

Total Views
1,277
Views on SlideShare
1,270
Embed Views
7

Actions

Likes
0
Downloads
7
Comments
0

2 Embeds 7

http://www.cmdaatlanta.org 6
http://www.onlydoo.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Food and drink safety Food and drink safety Presentation Transcript

  • Food and Drink Safety 4-10 Hugh J. Davis RN, MHA,MPH Betsy Christiansen BSN, RN AMLT - Honduras 1
  • In the field, remember: 1.Eat to stay healthy! 2. Follow safe water protocols. 3. Protect yourself from blood-borne disease. 4. Follow basic immunization schedules. 5. Know how to diagnose & treat travelers’ diarrhea. 6. Follow malaria protection protocols. 7. Protect yourself from TB. 4-10 AMLT - Honduras 2
  • Pathways to Infection Water Food Skin Mucous Membranes 4-10 4-10 AMLT - Honduras 3
  • 4 Universal Precautions… …what’s wrong here? AMLT - Honduras 4-10
  • Universal Precautions What’s right in this picture? 5 4-10 AMLT - Honduras
  • It’s been said,“Travel broadens the mind as it loosens the bowels!” 6 4-10 AMLT - Honduras
  • MTW Medical Team Goal: 4-10 0% incidence of diarrhea and >90% of our medical teams have achieved that goal! AMLT - Honduras 7
  • THINK Before You Eat!!! Everything that looks good may not be safe. That which looks unpalatable may be safe. 4-10 AMLT - Honduras 8
  • 4-10 AMLT - Honduras 9
  • Boil it, Cook it,Peel it, or…Forget it! Giardia trophozoites No, No 10 4-10 AMLT - Honduras
  • Only 2% of travelers are compliant! 53% use ice in drinks; 71% consume uncooked vegetables; 40-60% get diarrhea! 11 4-10 AMLT - Honduras
  • An Unwanted Part of the Missionary Experience Julie: 9 mo diarrhea 4-5 days per month 10% weight loss Laurie: 1 year Giardia 2 week hospitalization 4-10 12 AMLT - Honduras
  • 4-10 AMLT - Honduras Hepatitis Polio Typhoid fever Protozoa Bacteria Viral enteritis What does Cipro cover? 13
  • Your body is not your own; you were bought with a price. 1 Cor. 6:20 14 4-10 AMLT - Honduras
  • ‘Sacrificial gifts’ from donors lead to loss of… a caregiver’s time a translator’s time a transportation unit a team’s productivity… or even a potential cancellation of trip. 4-10 15 AMLT - Honduras
  • Wash your hands before you eat! Water from any spigot, tube or pipe is considered contaminated! DON’T wash your dirty hands in contaminated water and with contaminated soap; don’t use a contaminated towel for drying! 16 4-10 AMLT - Honduras
  • Water Hygiene Water from spigot is considered contaminated… …you don’t know the source! 4-10 AMLT - Honduras
  • Safe Alternatives for Hand Washing Wash in disinfected “clean” water. Use antibacterial soap. Air dry or use your own “camp towel”. Use jellied alcohol. Much better 18 4-10 AMLT - Honduras
  • Are We Ready to Eat? Eat with “clean hands”! Don’t use dirty utensils, dishes or cups! What’s dirty? What’s clean? 19 4-10 AMLT - Honduras
  • The ‘Tupperware Alternative’ A sealed container with your own utensils inside;A 3-step wash using disinfectant. 4-10 AMLT - Honduras 20
  • What’s For Supper? Ascaris Giardia Amoebas Taenia Hepatitis 21 4-10 AMLT - Honduras
  • ALWAYS Unsafe… …NEVER eat! Salads (lettuce) Custards Potato salad Mayonnaise 22 4-10 AMLT - Honduras
  • 23 4-10 4-10 AMLT - Honduras 23
  • More Unsafe Foods Milk products… butter ice cream unpasteurized cheese Raw or undercooked meat & fish 24 4-10 AMLT - Honduras
  • Safe Foods MUST be well-cooked cooked to 158º & hot at serving time MUST be reheated to 158º if previously cooked Jellies & breads (covered - no flies!) AMLT - Honduras 25 4-10
  • 4-10 26 AMLT - Honduras 26 4-10
  • 4-10 27 AMLT - Honduras 27 4-10
  • Dry Things are Safe… …If packaged or protected properly! 28 4-10 AMLT - Honduras
  • Staphylococcal Food Poisoning is from a heat-stable Toxin. MUST keep hot foods hot (> 140ºF)… …and cold foods cold (<40ºF). Heat Kills Germs! Yum Yum 29 4-10 AMLT - Honduras
  • Initial symptoms: Staph Toxin 1-8 hrs E Coli 0157 4 +days Giardiasis 1-2 wks Amoebiasis 2-4 wks Hepatitis A 2-6 wks Ascariasis 4-16 wks Taeniasis 2 mo 30 4-10 AMLT - Honduras
  • Thursday, Day 4 4-10 AMLT - Honduras 31
  • 4-10 32 AMLT - Honduras 4-10 32
  • What About Fruit? Is the outside of the fruit clean? Was the knife clean that cut the fruit? (2-knife method?) Were the hands clean that prepared the fruit? 33 4-10 AMLT - Honduras
  • Not all Fruit is Created Equal! Best = fruit with rind or skin that can be peeled Easy Very easy AMLT - Honduras
  • Difficult or impossible to clean Difficult Almost impossible 35 4-10 AMLT - Honduras Not all Fruit is Created Equal!
  • Raw vegetables such as lettuce, spinach, tomatoes and onions were responsible for the illness or deaths of nearly 19,000 people nationwide over a 5-year period. 36 4-10 AMLT - Honduras
  • What is Safe to Drink? Hot beverages: boiled water, tea or coffee Soda & carbonated beverages Coconut water or milk Pasteurized milk & juices 37 4-10 AMLT - Honduras
  • The Story on Bottled Water 11 of 14 randomly-selected bottles representing 8 brands in Nepal were contaminated with Coliforms! Poop! 38 4-10 AMLT - Honduras
  • Outbreaks of diarrheal illness are common from “safe” bottled water. [Wisconsin, Lima, Mexico and Peru’s “San Antonio”] 39 4-10 AMLT - Honduras The Story on Bottled Water
  • Is it safe or… Has it been rebottled? …refilled? Safety designation e.g., reverse osmosis Bottle dirty? …wet? Cap secure? …new or replaced? Do you trust your life & your team’s health with it ?! 40 4-10 AMLT - Honduras
  • Drinking-water on Airplanes A substantial number of aircraft going to / returning from developing countries serve contaminated drinking water. Travel with “Sweet Water” drops, Iodine or Chlorine Dioxide tabs, or a “Steri-Pen”. 41 4-10 AMLT - Honduras
  • Coconut Water… 42 4-10 AMLT - Honduras
  • …it’s always in good taste …& all over the world! 43 4-10 AMLT - Honduras
  • Cleaning Dishes… a Triple Process 44 4-10 AMLT - Honduras
  • Other Water Challenges Brushing teeth Showering Swimming pool Ocean 45 AMLT - Honduras
  • High Risk Behavior Bad information or ignorance Non-compliancy Eating in “dirty” restaurants Whoa! 46 4-10 AMLT - Honduras
  • Prevention… Active vs Passive Dietary Restrictions 47 4-10 AMLT - Honduras
  • Prevention Active vs Passive 48 4-10 AMLT - Honduras
  • Active verses Passive Restrictions Passive = everybody orders for themselves, then leader must tell them no! 49 4-10 AMLT - Honduras
  • Active = Eat everything that is put in front of you 50 4-10 AMLT - Honduras
  • So-o-o… what-R-U-gonna-eat? Spoon? Banana? Iced tea? Hot soup? Lettuce? Tomato? Silverware? Napkin? Hamburger? Bun? 51 4-10 AMLT - Honduras
  • What if you are served unsafe food? 52 4-10 AMLT - Honduras
  • What if you are served unsafe food? Try not to offend. Eat small portions. [risk of diarrhea linked to size of inoculum] Have a designated eater. [someone w/ indigenous bowel flora] 53 4-10 AMLT - Honduras
  • Taking 500mg Cipro after eating will NOT protect you from crypto, Hepatitis A, rotovirus, etc. 54 4-10 AMLT - Honduras
  • If you can’t live without cut fruit, salad, ice or fruit juice for 2 weeks… …stay home!!! 55 4-10 AMLT - Honduras
  • Food at luxury hotels no safer than the food in standard hotels. Flies are important vectors of disease. Watch for flies in the restaurant & on food! 4-10 AMLT - Honduras 56 Shangri-La Hotel in New Delhi
  • Food consumed on aircraft home was likely prepared in country of origin of the flight. If eating is unavoidable, limit intake [inoculum]! 57 4-10 AMLT - Honduras
  • Epilogue If you can sleep well & eat well, you can endure almost anything! 58 4-10 AMLT - Honduras
  • Let’s Eat !!! Good, Safe Food in Jungle Kitchen 59
  • You CAN stay healthy!1. Think, Think, THINK !!!2. Think as a group !3. Look out for each other !4. Choose food carefully !5. Treat water appropriately ! 4-10 60 AMLT - Honduras