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WORLD HEALTH DAY ववववव ववववववववव वववव April 7, 2015 FOOD SAFETY: Getting The Basics Right Dr. Vidushi Sharma, MD, FRCS & Dr Suresh K Pandey SuVi Eye Institute & Lasik Laser Center, Kota, Rajasthan, India www.suvieye.com , [email protected] ; Ph. 91-9351412449 IMA KOTA WORLD HEALTH DAY CELEBRATION & INSTALLATION CEREMONY, KOTA, RAJASTHAN, INDIA

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Dear All, We are pleased to share World Health Day Oration entitled- "Food Safety: Getting the Basics Right" delivered by Dr Vidushi Sharma (SuVi Eye Institute & Lasik Laser Center, Kota, India). This Program was held at Indian Medical Association (IMA) Kota, Rajasthan, Branch, India. For details please contact: Dr Suresh K Pandey, Joint Secretary, Indian Medical Association, Kota Branch, India; Email: [email protected], Phone +91 9351412449

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Our Experience with IPCL

WORLD HEALTH DAY April 7, 2015FOOD SAFETY: Getting The Basics Right

Dr. Vidushi Sharma, MD, FRCS & Dr Suresh K PandeySuVi Eye Institute & Lasik Laser Center, Kota, Rajasthan, Indiawww.suvieye.com, [email protected]; Ph. 91-9351412449

IMA KOTA WORLD HEALTH DAY CELEBRATION & INSTALLATION CEREMONY, KOTA, RAJASTHAN, INDIA

FoodFood and Water are the most basic necessities for survival.Most diseases, specially in developing countries are still food and water-borneBeyond survival, quality and quantity of food determine good health or lack of it.

Dr Vidushi Sharma, MD, FRCSMedicine and FoodLet Food be they medicine and medicine be thy food. Hippocrates 460BCWhen Diet is wrong, medicine is of no use, when diet is right, medicine is of no need. Ayurvedic proverbHe that takes medicine and neglects diet, wastes the skills of the physician. Chinese proverb

Dr Vidushi Sharma, MD, FRCSFood Security and Food SafetyA situation that exists when all people, at all times, have physical, social and economic access to sufficient, safe and nutritious food that meets their dietary needs and food preferences for an active and healthy life. (FAO 2001)Assurance that food will not cause harm to the consumer when it is prepared and/or eaten according to its intended use.

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCSFood Security in IndiaIndia is home to more than 230 million undernourished people (21% of population) FAO report 2008Rising prices increase poverty and the number of hungry peopleInflation in food articles is higher than general inflation, affecting the poorest of poor in terms of percentage

Dr Vidushi Sharma, MD, FRCSSocial issuesHuge wastage in marriages (15%)Executive guest control order 1960sLack of granaries, warehouses, rotting food grains

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCSFood SafetyUnsafe food can lead to a range of health problemsdiarrhoeal disease, viral disease (the first Ebola cases were linked to contaminated bush meat) reproductive and developmental problems, cancers..

Dr Vidushi Sharma, MD, FRCSKey FactsUnsafe foodcontaining harmful bacteria, viruses, parasites or chemical substancescauses more than 200 diseases, ranging from diarrhoea to cancers.Food-borne and waterborne diarrhoeal diseases kill an estimated 2 million people annually, 700,000 in SE Asia, including many children

Dr Vidushi Sharma, MD, FRCSFood threatsBacteria: Salmonella, Vibrio, Campylobacter...Virus: Norovirus, Hepatitis AParasies: Echinococcus Entamoeba, Ascaris, GiardiaPrionsChemicals

Dr Vidushi Sharma, MD, FRCSChanges in Food chainIntensive agricultureGlobalization of food tradeMass catering and street food

Dr Vidushi Sharma, MD, FRCSWHO Day 2015Opportunity to alert governments, manufacturers, retailers and the public to the importance of food safetyand the part each can play in ensuring that the food on peoples plates is safe to eat.

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCSAim of the CampaignGovernments public awareness campaignsConsumers ensure safety check labels, ask questions, follow hygiene tips

Dr Vidushi Sharma, MD, FRCSCodex AlimentariusLatin for book of food Collection of internationally recognized standards, codes of practice, guidelines and other recommendations relating to foods, food production and food safety.

Dr Vidushi Sharma, MD, FRCS

WHOs five keys to safe foodKeep cleanSeparate raw and cooked foodCook thoroughlyCook and store at safe temperaturesUse clean water and raw materials

Dr Vidushi Sharma, MD, FRCS

Growing safe vegetablesPractice good personal hygieneAvoid animal fecal contaminationUse treated fecal wasteRisks from irrigation waterKeep harvest and storage equipment clean and dry

Dr Vidushi Sharma, MD, FRCSNewer ProblemsDrug Residues, pesticides, genetically modified foodsIntensive agricultureAntimicrobial resistanceClimate changeFood allergiesMineral deficiencies, obesity and NCDs processed food

Dr Vidushi Sharma, MD, FRCSRecent ConcernsOne of the most ubiquitous and long-lasting recent changes to the surface of our planet is the accumulation and fragmentation of plastics,

Say No to Disposables/ Educate

Dr Vidushi Sharma, MD, FRCS

Plastic Not so FantasticChemicals added to plastics are absorbed by human bodies.Plastic buried deep in landfills can leach harmful chemicals that spread into groundwater.bisphenol A (BPA), found in polycarbonate bottles and the linings of food and beverage cans, can leach into food and drinks.

Dr Vidushi Sharma, MD, FRCSPlasticIt has been estimated that over one trillion plastic bags are used worldwide each year and.5% to 3% of all bags winds up recycledIn 2006, the United Nations found that each square mile of the ocean has 46,000 pieces of plastic in it.

Dr Vidushi Sharma, MD, FRCSBottled Water Lessons learntScare us Tap waterSeduce Us Images of pristine mountains and natureMisleading UsSF (USA) ban

Dr Vidushi Sharma, MD, FRCSToxic Farming234 pesticides registered in India till 2012, 24 of these classifies as potential carcinogens by US EPA67 pesticides in use which have been banned elsewhereMany banned and restricted pesticides in India appear in residue testingBio-accumulation & Bio-magnification

Dr Vidushi Sharma, MD, FRCSPesticidesMore than 95% of the pesticide doesnt reach the target organisms, and reaches air soil and water and contaminates themMore water needed per crop

Dr Vidushi Sharma, MD, FRCSMedia Attention

Dr Vidushi Sharma, MD, FRCSPunjabFood basket to disease basket20 % of all sampled wells have nitrate levels above the safety limit of 50 mg of nitrate per litre for drinking waterCause methemoglobinemia, (blue-baby syndrome) and cancer.Overuse without precautions

Dr Vidushi Sharma, MD, FRCSPunjab2.5% agriculture land and 18% pesticide useCancer train to BikanerMalwa region most highly affected

Dr Vidushi Sharma, MD, FRCSChemicalsNaturally occuring: mycotoxins (aflatoxin, ochratoxin), marine biotoxinsPersistent organic Pollutants: industrial processes, waste incineration dioxins and PCBs - reproductive & developmental problems, damage the immune system, interfere with hormones and cause cancer.

Dr Vidushi Sharma, MD, FRCS

Heavy metalsLead, Cadmiumm and Mercury though air water and soil pollutionDangerously high amounts of Barium, Cadmium, Manganese, Lead and Uranium, signifying long-term exposure in hair of physically and mentally challenged children in Punjab

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCSGM CropsBacillus thuringiensis (or Bt) bacteria produce chemicals harmful to selective insects biological pesticideThe gene coding for Bt toxin injected into cotton to give Bt cottonInitially, increased yield, more profits, but a vicious cycle ensues, needs refuge areas

Dr Vidushi Sharma, MD, FRCSOrganic farming in IndiaInida 7th in the world in terms of areaArea under organic certification highest in MP, followed by HP and Rajasthan, yet no formal outlets for organic produce in RajasthanBalance between the two approaches to feel the populationOrganic food superior? Tastier?

Dr Vidushi Sharma, MD, FRCSIndian ScenarioNeed to strike a balance between organic farming (Sikkim) and increased productionHygieneDo not overdo, overuse, use precautions

Dr Vidushi Sharma, MD, FRCSStorage

Let us start Swchchata here!Dr Vidushi Sharma, MD, FRCSFood AdulterationMilk products such as khoya, butter, ghee, milk-based sweets, pulses (arhar and rajma), mustard oil, groundnut oil, poultry and meat

Dr Vidushi Sharma, MD, FRCS

Food Adulterants

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCS

What can we do?Be aware and educateWalk the TalkDoctors well suited to be the change you wish to see

Dr Vidushi Sharma, MD, FRCS

Walk the Talk

Dr Vidushi Sharma, MD, FRCS

Dr Vidushi Sharma, MD, FRCSWORLD HEALTH DAY April 7, 2015FOOD SAFETY: Getting The Basics Right

Dr. Vidushi Sharma, MD, FRCS & Dr Suresh K PandeySuVi Eye Institute & Lasik Laser Center, Kota, Rajasthan, Indiawww.suvieye.com, [email protected]; Ph. 91-9351412449

IMA KOTA WORLD HEALTH DAY CELEBRATION & INSTALLATION CEREMONY, KOTA, RAJASTHAN, INDIA