Topics A to Z

As part of NEHA's continuos effort to provide convenient access to information and resources, we have gathered together for you the links in this section. Our mission is "to advance the environmental health and protection professional for the purpose of providing a healthful environment for all,” as well as to educate and inform those outside the profession.

Abstract

Frequent and timely state adoption of the Food and Drug Administration Food Code signals a commitment to the use of contemporary science-based interventions for the control of foodborne illness risk factors in retail food establishments. The regularity with which states adopt each new edition of the Food Code, however, remains unclear. This study examined the relationship between mode and frequency of adopting the most current edition of the Food Code over time among 64 state retail food regulatory agencies. Among agencies that adopted an edition of the Food Code, the amount of time until adoption was approximately 1.4 years for the 2013 Food Code (current), 3.5 years for the 2009 Food Code (recent), and 3.3 years for the 2005 Food Code (older). When considering adoption over time, approximately 23% of agencies tended to adopt a current edition (current adopters) of the Food Code, 41% of agencies tended to adopt recent editions (moderate adopters), and 36% of agencies tended to adopt older editions (late adopters). There was no significant difference, however, in the odds of an agency being a current, moderate, or late adopter, regardless of an agency’s mode of adoption.

Access Full Article Text (PDF)

 

September 2020
September 2020
83.2 | 8-15
Charles E. Idjagboro, MPH, Center for Food Safety and Applied Nutrition, Food and Drug Administration, Girvin L. Liggans, MS, PhD, REHS, DAAS, Center for Food Safety and Applied Nutrition, Food and Drug Administration, Veronica S. Moore, MS, LEHS, REHS, Center for Food Safety and Applied Nutrition, Food and Drug Administration, Son T. Hoang, Joint Institute for Food Safety and Applied Nutrition, University of Maryland

Abstract

Many existing inventories of private wells in the U.S. lack digital geographic coordinates, and county-level permitting systems often store information in paper copies. We developed a GIS database of private wells from paper permits issued since 1989 in Gaston County, North Carolina (n = 8,721) using a multistage, geocoding approach. We then assessed the positional accuracy of the geocodes from the field-collected GPS location of these wells. In total, 98.9% of permits were successfully geocoded and 12.3% were secured with GPS devices. There were significant differences (p < .05) in positional accuracy for rooftop, parcel, and street geocodes of private wells in the GIS database, but positional accuracy was high for rooftop geocodes. Our approach is portable to other regions interested in the development of a digital inventory with GIS of private wells to aid in monitoring water quality and planning public health interventions.

 

November 2020
November 2020
83.4 | 8-15
Claudio Owusu, PhD, Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Eric Delmelle, PhD, Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Wenwu Tang, PhD, Department of Geography and Earth Sciences, University of North Carolina at Charlotte, Gary Silverman, PhD, Department of Public Health Sciences, University of North Carolina at Charlotte
Jan/Feb 2014
76.6 | 66-67
Eduardo Massad, MD, Lêuda Olívêr, Marcelo N. Burattini, Francisco A. B. Coutinho
Additional Topics A to Z: Pathogens and Outbreaks

Abstract

A cross-sectional survey was conducted in 2016 to identify the food safety training needs of government sanitation inspectors in the Philippines who carry out the role of food inspectors as a part of their job. The paper survey was answered by 235 sanitation inspectors of different cities selected randomly. Answers showed 67.2% did not attend any formal training on methods of inspection for food safety and 78.7% did not attend any formal training on hazard analysis critical control point (HACCP). Further, 80.4% did not receive any formal training on the Food Safety Act of 2013. Among these participants, 81.1% believed that their current performance could be improved by attending relevant training and 89.8% showed strong need to be trained on HACCP. It was concluded that a training program for sanitation inspectors, including an exam and refresher, needs to be enforced and that resources should be allocated for such a program to include at least the basics of food safety, HACCP, the Food Safety Act of 2013, and methods of risk-based food safety inspection for different food establishments.

 

September 2019
September 2019
82.2 | 18-23
Wessam M. Atif, MSc, MD, PHPD, ACIEH, GradIOSH, University of Manchester, Food Safety and Hygiene Academy of the Philippines (FoodSHAP, Inc.)

Abstract

The meatpacking industry has faced significant challenges in maintaining a safe and healthy working environment for its employees during the COVID-19 pandemic, which has resulted in worker illness and death, temporary closures of facilities, reductions in production capacity, and consequences throughout the supply chain. We sought to explore the concerns and perceptions of COVID-19 among meatpacking workers in the Midwestern part of the U.S. We conducted an online survey of meatpacking workers in Nebraska, Iowa, Kansas, and Missouri between May 7 and 25, 2020. A total of 585 workers participated (M = 41.3 years, SD = 10.3). More than 72% of workers believed that they were at “high risk” for contracting COVID-19, but less than one half had been tested (42%). Most workers (83%) reported that their employer had instituted some safety measures, but less than one half reported physical distancing on the line (39%), slowing down the line (34%), additional paid time off (28%), or restructuring of shifts (20%). Enforceable standards are needed in the meatpacking industry to reduce COVID-19 transmission. Culturally and linguistically tailored education, paid sick leave, and restructuring of work can reduce the risks of COVID-19 transmission. Transparency on workplace transmission rates is essential to developing strategies to mitigate occupational risks and foster worker trust.

 

July 2021
July/August 2021
84.1 | 16-25
Athena K. Ramos, MBA, MS, PhD, CPM, University of Nebraska Medical Center, Abbey Lowe, MA, University of Nebraska Medical Center, Jocelyn J. Herstein, MPH, PhD, University of Nebraska Medical Center, Natalia Trinidad, MPH, University of Nebraska Medical Center

Abstract

Nontuberculous mycobacteria (NTM), also known as environmental mycobacteria due to their ubiquitous nature, are opportunistic human pathogens of public health concern. They are the causative agent of lymphadenitis in children; pulmonary, skin, and soft tissue infections; and have been linked to Crohn’s disease. Human-to-human transmission is rare and as such it is essential to identify potential environmental sources and routes of exposure. This review explores studies written in English investigating the presence of NTM in pasteurized and unpasteurized milk over the last 20 years. Globally, it was demonstrated that NTM have been detected from milk products in Argentina, Austria, Brazil, Chile, Cyprus, the Czech Republic, Denmark, India, Iran, Iraq, Ireland, Italy, Switzerland, Tanzania, Turkey, UK, and U.S. We explored the relationships among the specific NTM species identified, pasteurized and unpasteurized milk, and different detection methods. Both experimental studies and detection from commercial milk suggests the NTM can survive the pasteurization process. Further research is required to explore the potential role of milk as a possible route of exposure to NTM and to identify potential management and control strategies.

 

May 2018
May 2018
80.9 | 24-31
Harriet Whiley, Environmental Health, College of Science and Engineering, Flinders University, Shraddha Adhikari, Environmental Health, College of Science and Engineering, Flinders University, Thilini Piushani Keerthirathne, Environmental Health, College of Science and Engineering, Flinders University, Tanya Caro Tohme, Environmental Health, College of Science and Engineering, Flinders University
Additional Topics A to Z: Pathogens and Outbreaks

Abstract

Childhood obesity has increased rapidly over the last three decades in the U.S. Individual-level interventions targeting healthy eating and physical activity have not significantly impacted clinical measures of obesity in children. Focusing “upstream” on physical, social, cultural, political, and economic environments may be more effective. The purpose of this qualitative review is to analyze published environmental interventions that effectively prevented or reduced obesity in children ages 2–10 years by working within their family, school, and/or community environment to increase physical activity, reduce sedentary behaviors, or improve healthy diet. Through an electronic database search, 590 original articles were identified and 33 were read in full. Using Brennan and co-authors’ (2011) rating system, 18 were rated as effective intervention studies. This analysis showed that interventions targeting multiple environments (e.g., family, school, and community) show promise in reducing childhood obesity. Further research is needed to test interventions targeting multiple environments in different communities and populations.

October 2016
October 2016
79.3 | 18-26
Claudio R. Nigg, PhD, Md Mahabub Ul Anwar, PhD, Kathryn L. Braun, DrPH, Jobel Mercado, MA
Additional Topics A to Z: Children's Environmental Health

With the establishment of the Food Safety and Standards Authority of India (FSSAI) and new food safety regulations, a precedent has been set to prevent foodborne illness in India. The objective of the authors’ study was to identify knowledge gaps among food handlers in Chennai, Tamil Nadu, to establish priorities for future intervention. A 44-question survey was administered to 156 food handlers at 36 restaurants in Chennai between April and June of 2011. The overall mean knowledge score was 49% and knowledge gaps related to hand hygiene, proper food cooking and holding temperatures, and cross contamination were identified. Food handlers with a Medical Fitness Certificate scored significantly higher than those without a certificate, after controlling for food safety training and level of education (p < .05). As the FSSAI standards now require a medical certificate for restaurant licensure and registration, consideration should be given to include an educational component to this certification with an explanation of expected food safety behavior.

January 2016
January/February 2016
78.6 | 18-25
Mindi R. Manes, Paraswami Kuganantham, Murugesan Jagadeesan, M. Laxmidevi

Article Abstract

The importance of clean food contact surfaces has been recognized; however, the importance of cleanliness on nonfood contact surfaces such as menus may be underestimated. The aim of the study described in this article was to determine the cleanliness of restaurant menus, evaluate typical cleaning methods used in a restaurant, and provide recommendations for improving menu cleanliness. The authors’ study used an adenosine triphosphate meter to assess the cleanliness of the menus. A pretest identified the most commonly touched areas of the menu by consumers. Based on the results of the pretest, menus were collected from casual-family dining restaurants and analyzed for cleanliness. Results suggested that menus should be cleaned after each shift and that menus distributed by the staff when guests are seated are cleaner than those kept on the table.

June 2014
76.1 | 18-24
Jinkyung Choi, PhD, Barbara Almanza, PhD, Douglas Nelson, PhD, Jay Neal, PhD
Additional Topics A to Z: Food Safety

Pages