Senate Bill 1420 requires chain restaurants in California with 20 or more locations to disclose calorie information on menus. Beginning July 1, 2009, they must provide nutritional brochures or list calories next to standard menu items. Beginning January 1, 2011, all chain restaurants must list calories next to standard menu items. The goal is to help the nearly 16 million Californians who are obese or overweight by providing nutritional information to make informed choices when eating out.
Presented at Michigan State University's WorldTAP International Short Course in Food Safety on July 31, 2009. (http://foodsafetyknowledgenetwork.org/worldtap/foodsafety09)
Presented at Michigan State University's WorldTAP International Short Course in Food Safety on July 31, 2009. (http://foodsafetyknowledgenetwork.org/worldtap/foodsafety09)
Updates on Nutrition Labeling and Claims Regulations in the Philippines by Helena S. Alcaraz, RND, Msc, Food & Drug Administration, Philippines.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
Nutrition Labeling and Claims: Regulatory Updates in Indonesia, by Siti Maemunah, National Agency of Drug and Food Control.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
2
Calendar No. 242
114TH CONGRESS SENATE REPORT
2nd Session 104-341
FOOD LABELING: REVISION OF THE NUTRITION AND SUPPLEMENT FACTS LABELS
__________
NOVEMBER 16, 2017 – Ordered to be printed
_______
[Insert full name], from the Senate Committee on [Insert Committee],
submitted the following
REPORT ON COMMENTS
[To accompany, S. 1043]
The Committee on FDA Affairs has analyzed the proposed regulation and the accompanying comments, and recommends that the regulation do not pass. Due to significant evidence questioning the validity of the argument and data that the FDA uses to support their proposed changes, it is recommended that the rule should not be passed without further review and editing.
PURPOSE
In the proposed rule, titled ‘Food Labeling: Revision of the Nutrition and Supplement Facts Labels’, the Food and Drug Administration (FDA) is making revisions to nutrition and supplement facts labels in attempt to make the information provided on food labels more accurate and useful to the general public. The FDA will change several pieces of the labels. Among the changes included will be the altering of daily intake recommendations to more accurately represent the current state of nutrition and health in America. Additionally, the “calories from fat” section will be eliminated, and an “added sugars” segment will be included. The FDA is also changing which vitamins and minerals are featured, taking away values that have less relevance and replacing those with more significant values that will be of better use to consumers. The format will also be changed to improve readability and accessibility of the label, which includes font size changes and the relocation of percent daily values from the right side to the left side of the panel. Each of these changes proposed by the FDA aim to increase consumer understanding and improve the health of the nation.
ESTABLISHING THE DEBATE
Nutrition and supplement facts labels are topics that are of high concern and debate because of their effect on all consumers in the United States. The proposed rule attracted many comments, both for and against the rulemaking.
Many comments posted were in favor of the government intervention and the proposed changes. Individuals and organizations alike see value in changing the information provided on nutrition and supplement labels to improve the health of the nation and see that it is necessary for the government to intervene. The first comments that will be looked at are from Unilever, which is one of the world’s largest consumer product companies. Unilever includes many top consumer brands in the United States, such as Ben & Jerry’s, Klondike ice cream, Hellman’s mayonnaise, Promise and many more, each of which will be affected by the changes proposed. Unilever supports government intervention, which will provide consumers with an easier understanding of nutrition information in order to build healthy diet pa ...
Introduction Supplemental Nutrition Assistance Program (SNAP) .docxnormanibarber20063
Introduction
Supplemental Nutrition Assistance Program (SNAP) has served as the foundation of America's national nutrition safety net, working to end hunger and improve the health of low-income people by helping families buy the food they need for a nutritionally adequate diet.
1
Qualification
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
Household SizeMaximum Income Level (Per Year)1$15,4442$20,8263$26,2084$31,5905$36,9726$42,3547$47,7498$53,157
According to the South Carolina Supplemental Nutrition Assistance Program
The benefits are not intended to cover all of a family's food costs, but will lessen the amount of income that must be used toward groceries each month. Families, people living alone, and people living with roommates use SNAP. People who are homeless can get SNAP benefits too. People of all ages are a part of SNAP.
For households with more than eight people, add $5,408 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.
2
Program History
Supplemental Nutrition Assistance Program (SNAP)
Pilot Food Stamp Program (1961-1964)
Food Stamp Act of 1964 (Under President Johnson)
According to the South Carolina Supplemental Nutrition Assistance Program
SNAP:
Created in 1939; lasted for 4 years
Program ended due unmarketable food surpluses and widespread unemployment; no longer existed
Orange stamps used to buy any food, Blue stamps for surplus food determined by the Gov’t
PILOT:
President Kennedy 1st Executive Order called for expanded food distribution
Retain the requirement that the food stamps be purchased, but eliminated the concept of special stamps for surplus foods
ACT:
The eligibility for purchase with food stamps of all items intended for human consumption except alcoholic beverages and imported foods
Prohibitions against discrimination on bases of race, religious creed, national origin, or political beliefs
3
Program History
Major Reform – 1970’s
The Food Stamp Act of 1977
Electronic Benefit Transfer (EBT): 1988 - 2004
According to the South Carolina Supplemental Nutrition Assistance Program
MAJOR REFORM
1971, established uniform national standards of eligibility and work requirements
Agriculture and Consumer Protection Act of 1973, required States to expand the program to every political jurisdiction before July 1, 1974
FOOD STAMP ACT
Established statutory income eligibility guidelines at the poverty line
Restricted eligibility for students and aliens (illegal) •
Eliminated the requirement that households must have cooking facilities
EBT:
Electronic Benefit Transfer (EBT) is an electronic system that allows a recipient to authorize transfer of their government benefits from a Federal account to a retailer account to pay for products received
EBT is used in all 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, and Guam.
State food stam.
Updates on Nutrition Labeling and Claims Regulations in Vietnam by the Vietnam Food and Drug Administration.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Updates on Nutrition Labeling and Claims Regulations in the Philippines by Helena S. Alcaraz, RND, Msc, Food & Drug Administration, Philippines.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
Nutrition Labeling and Claims: Regulatory Updates in Indonesia, by Siti Maemunah, National Agency of Drug and Food Control.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
2
Calendar No. 242
114TH CONGRESS SENATE REPORT
2nd Session 104-341
FOOD LABELING: REVISION OF THE NUTRITION AND SUPPLEMENT FACTS LABELS
__________
NOVEMBER 16, 2017 – Ordered to be printed
_______
[Insert full name], from the Senate Committee on [Insert Committee],
submitted the following
REPORT ON COMMENTS
[To accompany, S. 1043]
The Committee on FDA Affairs has analyzed the proposed regulation and the accompanying comments, and recommends that the regulation do not pass. Due to significant evidence questioning the validity of the argument and data that the FDA uses to support their proposed changes, it is recommended that the rule should not be passed without further review and editing.
PURPOSE
In the proposed rule, titled ‘Food Labeling: Revision of the Nutrition and Supplement Facts Labels’, the Food and Drug Administration (FDA) is making revisions to nutrition and supplement facts labels in attempt to make the information provided on food labels more accurate and useful to the general public. The FDA will change several pieces of the labels. Among the changes included will be the altering of daily intake recommendations to more accurately represent the current state of nutrition and health in America. Additionally, the “calories from fat” section will be eliminated, and an “added sugars” segment will be included. The FDA is also changing which vitamins and minerals are featured, taking away values that have less relevance and replacing those with more significant values that will be of better use to consumers. The format will also be changed to improve readability and accessibility of the label, which includes font size changes and the relocation of percent daily values from the right side to the left side of the panel. Each of these changes proposed by the FDA aim to increase consumer understanding and improve the health of the nation.
ESTABLISHING THE DEBATE
Nutrition and supplement facts labels are topics that are of high concern and debate because of their effect on all consumers in the United States. The proposed rule attracted many comments, both for and against the rulemaking.
Many comments posted were in favor of the government intervention and the proposed changes. Individuals and organizations alike see value in changing the information provided on nutrition and supplement labels to improve the health of the nation and see that it is necessary for the government to intervene. The first comments that will be looked at are from Unilever, which is one of the world’s largest consumer product companies. Unilever includes many top consumer brands in the United States, such as Ben & Jerry’s, Klondike ice cream, Hellman’s mayonnaise, Promise and many more, each of which will be affected by the changes proposed. Unilever supports government intervention, which will provide consumers with an easier understanding of nutrition information in order to build healthy diet pa ...
Introduction Supplemental Nutrition Assistance Program (SNAP) .docxnormanibarber20063
Introduction
Supplemental Nutrition Assistance Program (SNAP) has served as the foundation of America's national nutrition safety net, working to end hunger and improve the health of low-income people by helping families buy the food they need for a nutritionally adequate diet.
1
Qualification
In order to qualify, you must have an annual household income (before taxes) that is below the following amounts:
Household SizeMaximum Income Level (Per Year)1$15,4442$20,8263$26,2084$31,5905$36,9726$42,3547$47,7498$53,157
According to the South Carolina Supplemental Nutrition Assistance Program
The benefits are not intended to cover all of a family's food costs, but will lessen the amount of income that must be used toward groceries each month. Families, people living alone, and people living with roommates use SNAP. People who are homeless can get SNAP benefits too. People of all ages are a part of SNAP.
For households with more than eight people, add $5,408 per additional person. Always check with the appropriate managing agency to ensure the most accurate guidelines.
2
Program History
Supplemental Nutrition Assistance Program (SNAP)
Pilot Food Stamp Program (1961-1964)
Food Stamp Act of 1964 (Under President Johnson)
According to the South Carolina Supplemental Nutrition Assistance Program
SNAP:
Created in 1939; lasted for 4 years
Program ended due unmarketable food surpluses and widespread unemployment; no longer existed
Orange stamps used to buy any food, Blue stamps for surplus food determined by the Gov’t
PILOT:
President Kennedy 1st Executive Order called for expanded food distribution
Retain the requirement that the food stamps be purchased, but eliminated the concept of special stamps for surplus foods
ACT:
The eligibility for purchase with food stamps of all items intended for human consumption except alcoholic beverages and imported foods
Prohibitions against discrimination on bases of race, religious creed, national origin, or political beliefs
3
Program History
Major Reform – 1970’s
The Food Stamp Act of 1977
Electronic Benefit Transfer (EBT): 1988 - 2004
According to the South Carolina Supplemental Nutrition Assistance Program
MAJOR REFORM
1971, established uniform national standards of eligibility and work requirements
Agriculture and Consumer Protection Act of 1973, required States to expand the program to every political jurisdiction before July 1, 1974
FOOD STAMP ACT
Established statutory income eligibility guidelines at the poverty line
Restricted eligibility for students and aliens (illegal) •
Eliminated the requirement that households must have cooking facilities
EBT:
Electronic Benefit Transfer (EBT) is an electronic system that allows a recipient to authorize transfer of their government benefits from a Federal account to a retailer account to pay for products received
EBT is used in all 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, and Guam.
State food stam.
Updates on Nutrition Labeling and Claims Regulations in Vietnam by the Vietnam Food and Drug Administration.
Presented at the 9th Seminar on Nutrition Labeling, Claims and Communication Strategies, August 4 ~ 5 August, Manila, Philippines.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
2. Senate Bill (SB) 1420 Food Facilities Nutritional Information Act Introduced Feb 21, 2008 by: Senator Alex Padilla Senator Carole Migden Signed into law Sept 30, 2008 by Governor Schwarzenegger Senate Bill 1420 Alex Padilla Carole Migden
3. Will It Have an Impact? Nearly 16 million Californians are obese or overweight. Obesity costs the state at least $41.0 billion annually in medical care and lost productivity (CA Center for Public Health Advocacy) KCRA: Economic costs associated with obesity Over the last decade there has been a dramatic increase in the number of meals eaten outside the home In February 2009 New York City conducted an online survey of 755 consumers. 90% said that posted calories were higher than expected 82% said that nutritional information has impacted what they order http://www.cspinet.org/new/pdf/nyc_review_fact_sheet.pdf
8. Main Provisions: Quick Service Beginning July 1, 2009 quick service restaurants must: Provide nutritional information in a brochure for all standard menu items at the point of sale OR Disclose calories only for all standard menu items on the menu board or display tag next to the item.
9. Nutritional Brochures Nutritional brochures shall be made available at the point of sale and include the following information: Recommended limits for a 2,000 calorie diet are 20 (g) saturated fat and 2,300 (mg) of sodium Nutritional information for all standard menu items Brochure challenge
10. What About The Drive Through? Beginning July 1, 2009 restaurants with drive-through windows must: Provide a brochure that contains nutritional information each standard menu item AND Display a conspicuous sign at the point of sale that states: “Nutritional Information Available on Request”
11.
12. Combination Meals Defined as a combination of two or more standard menu items. Calorie content may be displayed using a minimum to maximum range. Calorie range must include all possible meal combinations Calorie ranges can ONLY be used on menu boards, menus, and display tags and ONLY for combo meals
13. Customized orders Nutritional information must be provided for a standard orderpepperoni pizza but, not for a special order three topping pizza. Alcoholic beverages and self service drinks. Complimentary pre-meal items (e.g. salsa & chips) Self service condiments. Soup of the day Salads with dressing on the side Nutritional information must be provided for pre-mixed salads but , not for a garden salad with dressing on the side. Foods That Are Exempt Salad Pizza – Good Luck
14. Enforcement Enforcement agency must verify that nutritional information is provided in an approved manner Sacramento County records menu labeling violations under data field # 32 “Food properly labeled and honestly presented” The law provides for fines between $50 to $500 No enforcement mechanism is provided for verifying accuracy
15. 186 Chain facilities identified in California Participating agencies include: Sacramento, San Diego, San Mateo, Los Angeles, and California Department of Public Health Complete chain restaurant list can be found at: http://www.emd.saccounty.net/EH/EMDMenuLabelingInfo.htm California Chain Restaurant List
16. Sacramento County Survey In January 2009 Sacramento County EMD conducted a survey of 110 facilities listed on the California Chain Restaurant List. Of those surveyed: 50% were in full compliance 34% attempted to comply but had minor violations 16% had no knowledge of menu labeling Menu Labeling Survey Report
17. Guidance Document FAQ’s Q: Does the law apply to temporary and mobile food facilities? A: Yes, provided the facility meets the standard criteria: 20 facilities with same owner Same name Same standard menu items CCDEH Guidance Document
18. Guidance Document FAQ’s Q: Where does the facility keep the brochures? SB 1420 states that “… a food facility that does not provide sit-down service shall disclose the information … on a brochure that is made available at the point of sale…” Point of sale is defined as the location where a customer makes an order What does “made available” mean? A: If a facility is able to provide a brochure upon request they meet the definition of “made available”.
19. Guidance Document FAQ’s Q: What about chain restaurants that offer unique food items not available at other locations? Tapioca Express (managers special) Lollicup Tea Zone A: Chain restaurants must only provide nutritional information for standard menu items shared in common with 20 or more facilities.
20. Other Regions Take Action New York City Menu labeling required as of May 2008 http://www.nyc.gov/html/doh/html/cardio/cardio-transfat.shtml Philadelphia Pennsylvania Menu labeling required as of Jan 2010 http://www.phila.gov/health/units/ehs/index.html King County Washington Menu labeling required as of Jan 2009 http://www.kingcounty.gov/healthservices/health/nutrition/healthyeating.aspx In total 32 states have either passed legislation or have pending legislation requiring menu labeling http://www.fitfrying.com/map/nutrition-regulation-map.php
21. Federal MEAL Act Menu Education and Labeling Act Introduced May 14, 2009 by: Senator Tom Harkin Congresswomen Rosa DeLauro Requires chain restaurants with 20 or more locations in the United States to due the following: Post calories on all menu boards including drive through Provide nutritional information on all menus MEAL Act Debate Tom Harkin Rosa DeLauro
22. How many calories are in your morning breakfast? 510 Calories 460 Calories 970 Calories Blueberry Scone White Mocha
23. How many calories are in your afternoon lunch? 1760 Calories 440 Calories 2200 Calories Raspberry Lemonade Tuna Melt
24. How many calories are in your evening dinner? 2020 Calories 1970 Calories 3990 Calories Fudge Fudge Brownie Chicken Fettuccini
California became the first state in the nation to pass menu labeling legislation.When in normal format click on document to view a complete copy of SB 1420.
Computer must be connected to the internet in order to view video clip.
Terms that are used throughout SB 1420, the CCDEH Guidance Document, and this power point presentation.
Nutritional information shall be in the form of a brochure, table tent, or menu insert.Facilities that fully comply with January 1, 2011 requirements are not required to provide these items.
Quick service restaurants that complywith January 1, 2011 requirements still need to have brochures for their drive through windows.
Computer must be connected to the internet in order to view video clip.
Drive through signs shall be printed in legible font size and be placed in a visible location at the point of sale. SB 1420 does not give specifics requirements regarding font size and location.
Nutritional information is not required for items are offered for less than 180 days.Nutritional information is not required for random menu items that are not shared in common with other chain restaurants.
Complaints may be referred to other appropriate government agencies for enforcement.Menu labeling violations are considered a minor violation of CalCode.
Contact Sacramento County EMD at 916-875-8440 to request changes and/or updates to this list.
Most common violations were related to brochures not containing all required information and drive through windows not having correct signs.When in normal format click on document to view a complete copy of the Menu Labeling Survey Report.
See CCDEH Guidance Document for additional FAQ’s.When in normal format click on document to view a complete copy of the CCDEH Menu Labeling Guidelines.
See CCDEH Guidance Document for additional FAQ’s.
See CCDEH Guidance Document for additional FAQ’s.
Computer must be connected to the internet in order to view video clip.