nutrition + food safety great eating!likely to cause food safety problems (foodborne illness)?...
TRANSCRIPT
Nutrition + Food Safety
=
Great Eating!
Integrating food safety
into nutrition education.
June 16, 2016
1
Presenters
www.fightbac.org
Presenter
Janet M. de Jesus, M.S., R.D. Public Health Advisor
Center for Translation Research and Implementation
Science (CTRIS)
National Heart, Lung, and Blood Institute
National Institutes of Health
Moderator and Presenter
Mary Saucier Choate
M.S., R.D.N., L.D.N. Manager, Outreach and
Stakeholder Engagement, PFSE
Housekeeping
www.fightbac.org
One hour of CEU is available from both CDR and NEHA
• Download certificate during the webinar from the sidebar
on the right of your screen.
• Or go to www.fightbac.org Click on the >>Free Resources
tab>>Recorded Webinars. The certificates and recording
will be available within 48 hours.
Housekeeping
www.fightbac.org
During Webinar:
To ask a question,
use the QUESTIONS box
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Submit anytime during
Webinar. We will have Q&A
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After webinar: You will receive a brief evaluation survey. Please fill it out – we want to continue to develop the best webinars for you.
Learning Objectives
www.fightbac.org
• Describe the food safety recommendations noted in the 2015
Dietary Guidelines.
• Identify foods implicated in foodborne illness outbreaks.
• Provide examples of retail efforts to educate consumers on
good nutrition and proper food safety practices.
Are you eligible for our CEU's?
If yes, which one?
Poll Question
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www.fightbac.org The Partnership for Food Safety Education
6
Janet M. de Jesus, MS, RD National Heart, Lung, and Blood Institute
U.S. Department of Health and Human Services
DietaryGuidelines.gov
Food Safety in the Dietary Guidelines for
Americans
Objectives
Discuss overview of the
Dietary Guidelines for
Americans (DGA)
Review history of food
safety recommendation in
DGA
Review current food safety
recommendations in the
Dietary Guidelines for
Americans
The Dietary Guidelines for Americans:
What It Is, What It Is Not
• Provide evidence-based
recommendations about
the components of a
healthy and nutritionally
adequate diet
• Inform Federal food,
nutrition, and health
policies and programs
• Focus on disease
prevention rather than
disease treatment
• Not developed for
consumers directly
A Roadmap to the
2015-2020 Edition of the
Dietary Guidelines for Americans
2015-2020 Dietary Guidelines for Americans:
Contents
• Executive Summary
• Introduction
• Chapter 1: Key Elements of Healthy Eating Patterns
• Chapter 2: Shifts Needed to Align with Healthy Eating Patterns
• Chapter 3: Everyone Has a Role in Supporting Healthy Eating Patterns
• Appendices
– Appendix 14: Food Safety Principles and Guidance
The Guidelines
2015-2020 Dietary Guidelines for Americans:
The Guidelines
1. Follow a healthy eating pattern across the lifespan. All food and
beverage choices matter. Choose a healthy eating pattern at an
appropriate calorie level to help achieve and maintain a healthy body
weight, support nutrient adequacy, and reduce the risk of chronic
disease.
2. Focus on variety, nutrient density, and amount. To meet nutrient
needs within calorie limits, choose a variety of nutrient-dense foods
across and within all food groups in recommended amounts.
3. Limit calories from added sugars and saturated fats and reduce
sodium intake. Consume an eating pattern low in added sugars,
saturated fats, and sodium. Cut back on foods and beverages higher in
these components to amounts that fit within healthy eating patterns.
2015-2020 Dietary Guidelines for Americans:
The Guidelines (cont.)
4. Shift to healthier food and beverage choices. Choose nutrient-
dense foods and beverages across and within all food groups in
place of less healthy choices. Consider cultural and personal
preferences to make these shifts easier to accomplish and
maintain.
5. Support healthy eating patterns for all. Everyone has a role in
helping to create and support healthy eating patterns in multiple
settings nationwide, from home to school to work to communities.
Aligning with the Dietary Guidelines:
What Does This Mean in Practice?
Take the following actions in their entirety and maintain them over time:
• Make food and beverage choices that meet the Key Recommendations
for
– Food groups, subgroups, nutrients, and other components
– In combination to contribute to overall healthy eating patterns.
• Meet nutritional needs primarily through foods.
• Establish and maintain settings
– E.g., homes, schools, worksites, restaurants, stores
– That support and encourage food/beverage choices for healthy eating patterns.
• Ensure that food is kept safe to eat by
– Using the principles of clean, separate, cook, and chill.
• Establish and maintain sectors and settings that
– Support and encourage regular physical activity as part of a healthy lifestyle.
Help change social norms and values and
ultimately support a new prevention and healthy lifestyle paradigm
that will benefit the U.S. population today as well as future generations
History of food safety recommendations
Dietary Guidelines for Americans
History of DGA Key Recommendations
1980-2000
2005 Dietary Guidelines Advisory Committee:
Food safety evidence review questions
1. What behaviors are most likely to prevent food safety problems?
Or, in terms of how food is handled, what behavior(s) are most
likely to cause food safety problems (foodborne illness)?
– effectiveness of bacterial cleansers in preventing foodborne
illness
– data on cleaning fruits and vegetables to reduce the risk of
foodborne illness
2. What topics, if any, need attention even though they are not an
integral part of the "FightBAC!®" campaign?
2005 DGA Food Safety Key Recommendations
• Avoid microbial foodborne illness:
– Clean hands, food contact surfaces, and fruits and vegetables. Meat and poultry should not be washed or rinsed.
– Separate raw, cooked, and ready-to-eat foods while shopping, preparing, or storing foods.
– Cook foods to a safe temperature to kill microorganisms.
– Chill (refrigerate) perishable food promptly and defrost foods properly.
• Avoid raw (unpasteurized) milk or any products made from unpasteurized milk, raw or partially cooked eggs or foods containing raw eggs, raw or undercooked meat and poultry, unpasteurized juices, and raw sprouts.
• Recommendations for Specific Population Groups- Infants and young children, pregnant women, older adults
2010 Dietary Guidelines Advisory Committee:
Food safety evidence review questions
1. CLEAN: What techniques for hand sanitation are associated with favorable food safety outcomes and to what extent do U.S.
consumers follow them?
2. CLEAN: What techniques for washing fresh produce are associated with favorable food
safety outcomes and to what extent do U.S. consumers follow them?
3. CLEAN: To what extent do U.S. consumers clean their refrigerators?
4. SEPARATE: What techniques for preventing cross contamination are associated with
favorable food safety outcomes?
5. COOK AND CHILL: To what extent do U.S. consumers follow adequate temperature control
during food preparation and storage at home?
6. AVOID RISKY FOODS: To what extent do U.S. consumers eat raw or undercooked animal foods?
7. To what extent do specific subpopulations practice unsafe food safety behaviors?
8. To what extent are recently developed technological materials that are designed to improve food safety, effective in reducing
exposure to pathogens and decreasing the risk of foodborne illnesses in the home?
2010 Dietary Guidelines: Food Safety Guidance
Food Safety Principles and Guidance from 2005 reinforced:
• Clean
• Separate
• Cook
• Chill
Safe temperatures
1. Avoid risky foods
2. Food safety technologies- limited evidence
2015-2020 Food Safety Guidance
• The 2015 food safety guidance includes updated food safety principles to reduce risk of foodborne illnesses.
• These principles—Clean, Separate, Cook and Chill—are cornerstones of the Fight BAC! (www.fightbac.org) educational messages developed by the Partnership for Food Safety Education, a collaboration with the Federal government.
• Reinforced by USDA educational materials:
Be Food Safe www.befoodsafe.gov
Is it Done Yet? ww.isitdoneyet.gov
Thermy (www.fsis.usda.gov/thermy),
2015-2020 Food Safety Guidance
• Additional consumer-friendly information on food safety
is available at www.foodsafety.gov.
• Updates were included for hand sanitation, washing
fresh produce, preventing cross-contamination, and safe
cooking temperatures and thermometer use from the
FDA, the Center for Disease Control (CDC) and the
Food Safety and Inspection Service (FSIS).
DGA Food Safety Principles and Guidance
• Presented in DGA Appendix 14
Food Safety Guidance
• Four basic food safety principles work together to reduce the risk of foodborne illness—Clean, Separate, Cook, and Chill.
• These four principles are the cornerstones of Fight BAC!®, a national food safety education campaign aimed at consumers.
• Hand washing technique
• How to clean surfaces, appliances and foods.
• Recommended safe internal temperatures
• Separating foods when shopping, prep and service.
• Overview of risky eating behaviors and specific populations at increased risk of foodborne illness.
DietaryGuidelines.gov Janet de Jesus, MS, RD
National Heart, Lung, and Blood Institute
Did you know there was an appendix
of food safety guidance in the latest US Dietary Guidelines?
Poll Question
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www.fightbac.org The Partnership for Food Safety Education
27
Nutrition + Food Safety
=
Great Eating!
Integrating food safety into nutrition education.
28
Mary Saucier Choate, Partnership for Food Safety Education
What do we think of as good nutrition?
There is general agreement on what makes
up a healthy diet:
November 17-18, 2015, a group of
leading nutrition and food systems
experts reached consensus
on…healthy eating.
There is general agreement on what makes
up a healthy diet:
Can We Say What Diet Is Best for Health? Annual Review of Public Health, Vol. 35: 83-
103 (Volume publication date March 2014) D.L. Katz and S. Meller http://bit.ly/1rwJ5CZ
Health Benefits of Good Nutrition
• May reduce risk for heart disease, including heart attack
and stroke, obesity, and type 2 diabetes.
• May protect against certain types of cancers.
• May lower blood pressure, and may also reduce the risk
of developing kidney stones, and help to improve bone
health
• Can help improve blood iron status and to lower high
cholesterol levels.
Source: U.S. Department of Health and Human Services and U.S. Department
of Agriculture. 2015–2020 Dietary Guidelines for Americans. 8th Edition.
December 2015. Web. 19 Apr. 2016.
http://health.gov/dietaryguidelines/2015/guidelines
Foodborne Illness Can Completely
Undermine Good Nutrition And Its
Positive Effects On Health.
Short-Term Effects of
Foodborne Illness
One in six Americans get sick from food poisoning each year,
about 48 million people.
Symptoms can range from mild to serious and can last from a
few hours to several days.
Common symptoms of many foodborne illnesses include:
• vomiting
• diarrhea or bloody diarrhea
• abdominal pain
• fever
• chills
Long-Term Effects of Foodborne Illness Most people recover without any lasting effects from their illness.
Some experience serious chronic and sometimes lethal effects:
• Kidney failure
• Brain and Nerve damage
• Reactive and Chronic Arthritis
• Paralysis in the muscles that control breathing
• Spontaneous abortion or stillbirth
• Irritable bowel syndrome (IBS)
• Increased risks of high blood pressure, kidney problems, and
cardiovascular disease
Death
Approximately 3,000 deaths each year in the United States
References:
www.cdc.gov/features/ecoliinfection
www.foodsafety.gov/poisoning/effects
www.niddk.nih.gov/health-information/health-topics/digestive-diseases/foodborne-illnesses/Pages/facts.aspx
Consumers Must Handle Nutritious Foods
Safely to Decrease Their Risk
of Foodborne Illness
Painter JA, et al. Attribution of foodborne illnesses, hospitalizations, and deaths
to food commodities by using outbreak data, United States, 1998–2008. Emerg
Infect Dis.2013 Mar. Web. 19 Apr. 2016.
http://dx.doi.org/10.3201/eid1903.111866
Foodborne Illness Associated with Nutritious Foods
Unpasteurized Milk
Timeline: 2007–2012. Number of Outbreaks: 81
Results: 979 illnesses; 73 hospitalizations; 0 deaths
Pathogen: Campylobacter spp. Mungai et al. Emerg Infect Dis. 2015 January
Unpasteurized Cheese
Timeline: 1993-2006 Number of Outbreaks: 27
Results: 641 illnesses; 131 hospitalizations; 2 deaths
Pathogen: Campylobacter spp. and Salmonella spp. Langer et al. Emerg Infect Dis 2012 March
Foodborne Illness Associated with Nutritious Foods
Ground Beef
Timeline: 2014 Number of Outbreaks: 5
Results: 87 illnesses; 27 hospitalizations; 1 death
Pathogen: Shiga toxin-producing E. coli and Salmonella Dewey-Mattia et al., Surveillance for Foodborne Disease Outbreaks, United States, 2014, Annual Report. CDC,
2016.
Shell Eggs
Timeline: 2010 Number of Outbreaks:1 Results: ~1,939 illnesses
Pathogen: Salmonella Enteritidis Multistate Outbreak of Human Salmonella Enteritidis Infections Associated with Shell Eggs (Final Update)
Posted December 2, 2010 cdc.gov
Frozen Yellowfin Tuna
Timeline:2015 Number of Outbreaks: 1
Results: 65 illnesses; 11 hospitalizations; no deaths
Pathogen: Salmonella Paratyphi B variant L(+) tartrate(+) or Salmonella Weltevreden Multistate Outbreak of Salmonella Paratyphi B variant L(+) tartrate(+) and Salmonella Weltevreden Infections
Linked to Frozen Raw Tuna (Final Update) Posted August 19, 2015 cdc.gov
Foodborne Illness Associated with Nutritious Foods
Fried Rice
Timeline: 1993 Number of Outbreaks: 1
Results: 14 illnesses; 0 hospitalizations; 0 deaths
Pathogen: Bacillus cereus CDC Morbidity and Mortality Weekly report March 18, 1994 / Vol. 43 / No. 10 cdc.gov
Flour
Timeline: 2016 Number of Outbreaks: 1
Results: 38 illnesses; 10 hospitalizations; 0 deaths
Pathogen: Shiga toxin-producing Escherichia coli O121 (STEC O121) Multistate Outbreak of Shiga toxin-producing Escherichia coli O121 Infections Linked to Flour
Posted June 1, 2016 cdc.gov
Foodborne Illness Associated with Nutritious Foods
Frozen Vegetables
Timeline: 2013-2016 Number of Outbreaks: 1
Results: 8 illnesses; 8 hospitalizations; 2 deaths
Pathogen: Listeria monocytogenes
Multistate Outbreak of Listeriosis Linked to Frozen Vegetables Posted May 3, 2016 cdc.gov
Cucumbers
Timeline: 2015 Number of Outbreaks: 1
Results: 907 illnesses; 204 hospitalizations; 6 deaths
Pathogen: Salmonella Poona
Multistate Outbreak of Salmonella Poona Infections Linked to Imported Cucumbers (Final Update)
Posted March 18, 2016 cdc.gov
Whole Cantaloupes
Timeline: 2012 Number of Outbreaks: 1
Results: 147 illnesses;143 hospitalizations; 33 deaths
Pathogen: Listeria monocytogenes
Multistate Outbreak of Listeriosis Linked to Whole Cantaloupes from
Jensen Farms, Colorado (FINAL UPDATE) Posted August 27, 2012 cdc.gov
Incorporating Safe Food Handling messages
into Nutrition Education Can Help to
Decrease the Risk of Foodborne Illness
How do you incorporate
food safety information
into your education efforts?
Poll Question
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www.fightbac.org The Partnership for Food Safety Education
42
Government Programs Educate Consumers
FDA.gov: Whatscooking.fns.usda.gov
includes recipes from the
SNAP-Ed recipe finder
(Supplemental Nutrition
Assistance Program)
Government Programs Educate Consumers
Government Programs Educate Consumers
Retailers Are Educating Consumers
Retailers Are Educating Consumers
Meijer is a leading Midwest Supercenter with over 200 stores and more than
70,000 employees.
Meijer is ranked as the 19th largest privately held company in the country.
Retailers Are Educating Consumers
Simply Cook features food safety, meal planning tips, and basic recipes,
using ingredients frequently found in food pantries.
In 2014, Meijer distributed English and Spanish versions to
food bank and pantry partners across the Midwest.
Retailers Are Educating Consumers
Registered Dietitians conduct nutrition education for the community via website,
television, social media, and in-store.
Here they help consumers make healthy, food safe choices for their families while
grilling and when picnicking and traveling during warmer weather.
Retailers Are Educating Consumers
Retailers Are Educating Consumers
Operates more than 1,100 stores across the Southeast.
The largest employee-owned grocery chain in the United States.
One of the 10 largest-volume supermarket chains in the country.
More than 181,500 employees.
Retailers Are Educating Consumers
Publix Food Safety Newspaper in
Education Curriculum Campaign
During National Food Safety Education
Month in September, Publix worked
with Newspapers in Education and
distributed 450,000 food safety
curriculum programs for high school
teachers to use in their science
classes.
Retailers Are Educating Consumers
Each newspaper had a Publix Chill
Checker attached to it.
A social media campaign encouraged
students to use their Publix Chill
Checker, and post a selfie with it to
Instagram, showing that their
refrigerator was safely at 40º F or
below.
Retailers Are Educating Consumers
Retailers Are Educating Consumers
Headquartered in Cincinnati, Ohio, The Kroger Co.
is one of the largest retailers in the United States
based on annual sales.
Kroger operates 2,778 supermarkets throughout
the Midwestern and Southern United States.
More than 430,000 employees.
Retailers Are Educating Consumers
Kroger worked with the Partnership for Food Safety Education to create a week-
by- week Food Safety Education Month outreach plan.
The Partnership’s ProducePro campaign is six actionable practices for
consumers to enjoy fresh and safe fruits and vegetables at home. Kroger used
campaign elements to create stand-up signs in all 124 Michigan Kroger stores.
Retailers Are Educating Consumers
Kroger Food Safety Manager for the
Atlanta Marketing area, and Corporate
Executive Chef, John Szymanski has
daily interaction with many customers.
He has filmed segments targeting
children in an effort to get them to share
food safety knowledge with their parents.
He records food safety announcements
that play every 30 minutes in Kroger
stores.
Retailers Are Educating Consumers
Kroger’s 220 Southwest stores
participated in National Food Safety
Education Month Activities:
Fight BAC!® messages were integrated
into product displays.
Store managers coached their store
teams on Fight BAC!® food safety
practices so they were prepared to
answer customer questions.
Which food safety behaviors
do you teach about the most?
Poll Question
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Free science-based resources
at www.fightbac.org
Core 4 Fact Sheets, ProducePro, Cook it Safe!, Go 40 or Below
Questions?
www.fightbac.org
Upcoming Events!
Mark your calendars!
July 21 at 1 pm EST What about produce washes? Knowledge Exchange
September 13 at 1 pm EST Fight BAC! Brown Bag Webinar
Recipe Re-Do: Supporting Consumers with Food Safe Recipes
January 25-27, 2017 Washington, DC Consumer Food Safety Education Conference
www.fightbac.org
Join our E-list at bottom of page www.fightbac.org
www.fightbac.org
The Partnership for Food Safety Education
thanks these Sponsoring Partners and BAC
Fighter Community Connectors for their
support: