2. Lesson plan
Speaker : Dr. Rashmi P K
Chairperson : Dr. Pretesh Kiran
PG teaching activity : Lecture/ Discussion
Type of session : Seminar
Title : WHO theme 2015 : From farm to plate, make
food safe
9/6/2015 2
3. Date : 25-4-2015, Monday
Time : 09:30 am
Venue : MUSEUM HALL, DoCH
A-V Aids : Power Point presentation, Laptop, LCD
projector, Blackboard and chalk.
Audience : Postgraduate students & Faculty
Department of Community Health, SJMC, Bangalore.
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4. Objectives
At the end of this session, the audience should be able to
1. Describe the WHO theme 2015
2. Define food safety
3. Describe the five keys to food safety and their
importance
4. Describe the challenges in food safety
5. Describe where the food gets contaminated and
effect of food contamination
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6. Contents
Introduction to WHO themes 3 mins
Different world health day themes 2 mins
Introduction to food safety 10 mins
History 5 mins
Burden of food borne illnesses 5 mins
5 keys of food safety 15 mins
Challenges to food safety 5 mins
Food contamination 10 mins
Conclusion 5 mins
Total 60 mins
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7. WHO theme
The World Health Day is a global health awareness
day celebrated every year on 7 April
It is held to mark the founding of WHO
It is seen as an opportunity by the WHO to draw
worldwide attention to a subject of major importance
to global health each year
9/6/2015 7
14. WHO theme – Food safety
The WHO is promoting improvement of food safety as
part of the 2015 World Health Day campaign.
Unsafe food — food containing harmful bacteria,
viruses, parasites or chemical substances — is
responsible for more than 200 diseases, and is linked
to the deaths of some 2 million people annually,
mostly children.
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15. Food poisoning in a school at Bihar kills 20 children
Each year
diarrhoea kills
around 760 000
children under
five
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16. What is food safety?
Food safety is a scientific discipline describing
handling, preparation, and storage of food in ways that
prevent foodborne illness.
This includes a number of routines that should be
followed to avoid potentially severe health hazards
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17. Food safety considerations include :
‒ The origins of food
‒ Practices relating to food labeling
‒ Food hygiene
‒ Food additives
‒ Pesticide residues
‒ Policies on biotechnology and food
‒ Guidelines for the management of governmental
import and export inspection and certification
systems for foods
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18. Organizations set up to ensure
food safety in India
FSSAI
Codex alimentarius
HACCP
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19. History
Ancient Egyptians were most probably the first to
develop the silo, a storage tank designed to hold grain
harvested from the fields
Romans salted their
perishable items to
preserve them
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20. Burden of unsafe food
Each year diarrhoea kills around 760 000 children
under five.
A significant proportion of diarrhoeal disease can be
prevented through safe drinking-water and adequate
sanitation and hygiene.
Globally, there are nearly 1.7 billion cases of diarrhoeal
disease every year.
Diarrhoea is a leading cause of malnutrition in
children under five years old.
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21. Scenario in developing countries
Most of the diarrhoeal diseases occur in developing
countries
Significant proportion of this is food-borne
In developing countries, as resources are scarce, food
control issues usually receive low priority in public
health programmes.
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22. A vicious cycle
Lack of information
and resources
Underestimation of
the problem
No resources allotted
to food safety
measures or
surveillance
No data on burden of
disease
9/6/2015 22
25. Keep clean
Dangerous microorganisms are found in soli, water,
animals and people
These organisms are carried on hand, wiping cloths
and utensils
Slightest contact can transfer them to food and can
cause foodborne diseases
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26. Pathogens
The list of foodborne agents that have emerged in the
past three decades includes
a) bacteria
b) viruses
c) parasites
d) biotoxins
e) prion
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28. It is essential to wash hands with soap and water after
going to toilet along with washing and sanitizing all
surfaces and equipments used in food preparation
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29. Separate raw and cooked foods
Raw foods like meat, poultry and seafood can contain
dangerous microorganisms
Hence necessary to separate raw and cooked foods, use
separate equipment and utensils such as knives and
cutting boards for raw and cooked food
This is done to avoid cross contamination
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31. Cook thoroughly
Proper cooking kills almost all microorganisms
Cooking food above 70 degree celsius can ensure safe
consumption
Food that require special attention include minced
meats and large joints of meat and poultry
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32. Keep food at safe temperatures
Microorganisms can multiply very quickly if food is
stored at room temperature
By storing food below 5⁰C or above 60⁰C, the growth of
microorganisms is slowed down or stopped
It is necessary to :
a) Keep food at safe temperatures
b) Not leave cooked food for more than 2 hours at room
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33. c) Refrigerate cooked food below 5⁰C
d) Consume food that is piping hot
e) Do not store food in the refrigerator for long
f) Do not thaw food at room temperature
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34. Use safe water and raw materials
Raw materials like water or ice can be contaminated
with dangerous organisms and chemicals
Toxic chemicals can be formed in damaged and
mouldy food
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35. To prevent contamination,
Use safe water
Select fresh and wholesome food
Choose foods processed for safety like pasteurised milk
Wash fruits and vegetables especially if eaten raw
Do not use packaged foods beyond expiry date
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36. Challenges to food safety
1. Changes in food production and consumption
2. Changes to the environment/ development
3. Poverty and pollution
4. Travel and migration
5. Trade in food, animal feed and animals
6. New and emerging pathogens
7. Antimicrobial resistance
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37. Changes in food production and
consumption
Changes in food production
Modern agricultural practices :
1. Agribusiness
2. Industrial agriculture/ Intensive farming
3. Organic farming
4. Mechanised agriculture
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38. Organic farming
Organic farming methods combine scientific
knowledge of ecology and modern technology with
traditional farming practices based on naturally
occurring biological processes
Ex: Encouraging predatory beneficial insects to control
pests by serving them nursery plants
Encouraging beneficial microorganisms
Rotating crops to different locations from year to year
to interrupt pest reproduction cycles
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39. Planting companion crops and pest-repelling plants
that discourage or divert pests;
Using biologic pesticides and herbicides
Using stale seed beds to germinate and destroy weeds
before planting
Using insect traps to monitor and control insect
populations.
Using physical barriers, such as row covers
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40. Changes in food consumption
Indian diet is diversifying with fruit/vegetable and
animal-based food share increasing and cereal and
pulses declining
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41. Trends in Per Capita Consumption
of Calories, Protein and Fats
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
2050.0
2100.0
2150.0
2200.0
2250.0
2300.0
2350.0
2400.0
Protein/Fat(Gams/Day)
KCalories/Day
Protein Gr / Day Fat Gr / Day Calorie KCal / Day
Linear (Protein Gr / Day) Linear (Fat Gr / Day) Linear (Calorie KCal / Day)
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42. Changes to the environment
Economic and technical developments have
introduced new foods
New production systems or environmental changes
increase access to certain foods.
The food chain has become longer and more complex,
thus increasing opportunities for contamination.
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44. Travel and migration
Travellers can spread disease rapidly to new and
distant environments
Immigrants introduce new foods and dietary habits
into new regions
Travellers are more prone to food – borne illnesses
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45. Trade in food, animal feed and
animals
Globalization, facilitated by the liberalization of trade,
has led to increasing number of cases where the rapid
movement of food of plant and animal origin has
contributed to the spread of food-borne problems to
new areas
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46. Food contamination
“CONTAMINANT” means any substance, whether or
not added to food, but which is present in such food as
a result of the production (including operations
carried out in crop husbandry, animal husbandry or
veterinary medicine), manufacture, processing,
preparation, treatment, packing, packaging, transport
or holding of such food or as a result of environmental
contamination and does not include insect fragments,
rodent hairs and other extraneous matter - FSSAI
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47. Types of contaminants
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Air
Radionuclides (137Caesium,
90Strontium)
Polycyclic aromatic
hydrocarbons(PAH)
Water
Arsenic
Mercury
Soil
Cadmium
Nitrates
Perchlorates
Packaging materials
antimony
tin
lead
perfluorooctanoic acid
semicarbazide
benzophenone
thioxanthone
49. Food can get contaminated during :
On-farm production
Slaughtering or harvesting
Processing
Storage
Transport
Distribution
FOOD PRODUCTION CHAIN
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54. Processing
Food processing is the transformation of raw
ingredients, by physical or chemical means into food,
or of food into other forms
It involves activities such as :
Mincing and macerating
Liquefaction
Emulsification
Cooking (such as boiling, broiling, frying, or grilling);
Pickling, pasteurization
Canning or other packaging
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55. Hazards during processing
Chemical reactions occur between natural and/or
added food constituents
Metal chips from processing equipment can
contaminate food
Carcinogenic elements like nitrosamines and
mutagenic and polycyclic aromatic hydrocarbons
(PAH) can get added to the food
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56. Packaging
Antimony, similar to arsenic and others like tin, lead,
bisphenol A and BPA are chemicals used to make
plastic and epoxy resins.
Wrappers from fast food restaurants and microwave
popcorn wrappings are thought to harbor many
dangerous chemicals to humans as well
BPA damages the reproductive systems, causes brain
damage, breast and prostate cancers
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57. Storage
Contamination during storage can occur due to :
Faulty equipment
Improperly sealed food items
Not storing food items in a particular
temperature
Rodents, pests due to poor infrastructure
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58. Transport and distribution
Food can get contaminated during transport and
distribution in the following ways :
1. Tampering
2. Not maintaining the required temperature
3. Cross contamination
4. Improper packing
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59. So how do we keep food safe from
farm to plate?
On farm level
1. Promote organic farming
2. Educate the farmers about the use of pesticides
and the levels that are permissible
3. Avoid using sewage water for growing crops or
cleaning crops
4. Make sure that the farm is not situated near a
sewer or a garbage bin
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60. Slaughtering Processing
Follow rules laid by FSSAI
at slaughterhouses
Keep the animals separate
from slaughter houses
Use PPEs
Check level of bacteria per
ml of food packed
Use adequate sealing
methods
Donot tamper with the
sealed items
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61. Storage
Canned or packaged foods should be used in rotation, with
the oldest used first
Cereals, flour, sugar and other dried foods should be stored
in sealed containers to stop the access of pests
When containers with re-sealable lids are opened, such as
sauce bottles, pickle and jam jars, the lid should be put
back tightly if all of the food is not used. Check the label
for storage instructions as some foods must be stored in the
fridge after opening
If the contents in cans are high risk/high moisture foods
such as fruit, vegetables or meat this container should be
kept in the refrigerator
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62. Transport and distribution
Keep food in the right temperature
Check equipments regularly
Clean the vehicle after every delivery to prevent cross
contamination
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63. Correct food handling rules
Wash hands with soap and water before handling food
Do not smoke while preparing food
Handle food with tongs, a spoon or some other utensil
which is clean
When sneezing or coughing always cover the face with
a tissue or the hands and turn away from the food.
Wash hands immediately after as they may have been
contaminated
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64. If food has to be left standing in the open for a few
minutes during preparation always cover it with a lid,
clean cloth or cling wrap
Do not let raw high risk foods touch other foods
Always clean and sanitise utensils and benches/work
surfaces used to prepare high risk foods immediately
after the food has been prepared
Avoid preparing food for others if you have diarrhoea
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65. Conclusion
Emerging food-borne problems will not be solved by
individual countries acting in
isolation, no matter how high their levels of expertise
and food control
It is a global issue
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66. Following steps can be followed to
ensure food safety
• Food- borne illnesses should be
investigated and reportedSurveillance
• Newer methods of identification of food
borne illnesses should be developed
• Newer measures to ensure food safety
Research
• Through this, a global information system
should be established
Sampling
and analysis
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67. Contd..
• Countries need an efficient national food
control system to enable them to fulfil their
roles in identifying and controlling
emerging food-borne problems
Food control
systems
• The application of Codex General Principles
of Food Hygiene and of the HACCP system
should be promoted
Risk analysis
• Information education and communication
should be provided to all consumers, food
handlers and food suppliers
Communication
9/6/2015 70
Editor's Notes
Bacterial
Arcobacter butzleri*
Campylobacter jejuni*
Campylobacter fetus*
Cronobacter sakazakii
E. coli O157:H7*
E. coli, non-O157 STEC*
E. coli, enteroaggregative/STEC
E. coli, other diarrheagenic
Listeria monocytogenes*
Vibrio cholerae O139, toxigenic*
Vibrio vulnificus*
Vibrio parahaemolyticus*
Yersinia enterocolitica*
Yersinia pseudotuberculosis*
Algal
Pseudo-nitzschia pungens* (domoic acid-producing)
Parasitic
Cryptosporidium*
Cyclospora cayetanensis
Sarcocystis*
Trypanosoma cruzi*
Viral
Astrovirus
Caliciviridae (norovirus and sapovirus)
Hepatitis E*
Nipah virus*
Rotavirus
Fungal
Aspergillus flavus aflatoxin
Prion Agent
new Variant Creutzfeld Jacob Disease prion*