bill 307-31 proposed guam food code 06.21.12 ghra 2 nd quarter general membership meeting presented...

BILL 307-31PROPOSED

GUAM FOOD CODE06.21.12

GHRA 2nd Quarter General Membership Meeting

Presented byM. Thomas Nadeau

Division of Environmental HealthDepartment of Public Health & Social Services

DID YOU KNOW… “Stomach flu” is not a flu but an intestinal

disease caused by Norovirus

Norovirus infection causes Projectile vomiting Diarrhea Abdominal pains Nausea Fever (sometimes)

2GHRA 2ND Qtr. Membership Meeting

Norovirus

Courtesy of National Instituteof Health

DID YOU KNOW…

Infective dose for Salmonella is 100,000 to 1,000,000 cells, while E. coli is 100,000,000

- Salvato, 1992

But NOROVIRUS infection requires the ingestion of only less than 10 viral particles

- USFDA, Annex 3, Model Food Code


DID YOU KNOW…Norovirus

Causes more food-borne illness in US annually than any other pathogens

- U.S. Centers for Disease Control and Prevention

Is spread by fecal-oral route Can also be transmitted via airborne

route (projective vomiting)


DID YOU KNOW…

1 gram of diarrhea (3 drops) from a person infected with Norovirus may have up to 10,000,000 viral particles

- USFDA, Annex 3, Model Food Code


DID YOU KNOW…

Listeria is a hardy bacterium that can tolerate high salt and low temperature

Pregnant women are more susceptible to Listeria; infection can lead to stillborn or abortion


GHRA 2ND Qtr. Membership Meeting 7

PURPOSE

Provide a summary of the proposed “Guam Food Code” (Bill 307-31) and how it will impact retail food facilities when the code is adopted and implemented.

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AGENDA

Background of Division of Environmental Health

Guam Food Code and affected Establishments

Components of Guam Food Code Guam Food Code vs. Eating and Drinking

Establishment Rules and Regulations

GHRA 2ND Qtr. Membership Meeting

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DIVISION OF ENVIRONMENTAL HEALTH (DEH)

One of 5 divisions of DPHSS To serve and protect the people of Guam

from environmental hazards through education and the implementation of governing laws designed to prevent injuries, disabilities, diseases, and deaths


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Sanitation


BILL 307-31 Introduced by Sen. Dennis Rodriguez on

Sept. 2011 Through the efforts of the Guam Food

Safety Task Force (GFSTF) Regulatory agencies, GHRA, food industry,

military, healthcare community, and academia “GUAM FOOD CODE” Proposed regulations to replace existing

“Rules and Regulations Relative to Eating and Drinking Establishments”


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RETAIL FOOD FACILITIES Retail Food Facilities (RFF)

Food establishments providing food directly to consumers

Ex: Restaurants, groceries, delis, bakeries Does NOT include food manufacturers and

distributors RFF inspected by the DEH for compliance

(sanitation and safety) “Guam Food Code” will be the rules and

regulations for retail food facilitiesGHRA 2ND Qtr. Membership Meeting

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GUAM FOOD CODE (GFC) GFC mirrors Model Food Code developed by U.S.

Food and Drug Administration (FDA) Model Food Code is a science-based guide for food

protection FDA encourages all U.S. jurisdictions to adopt for uniformity

Many states have adopted model code in parts or in whole Model code reviewed every 2 years

GFC reflects 2005 version of model code Reviewed and approved by GFSTF Some changes made specific to Guam


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GFC COMPONENTS

Chapter 1: Purpose Definitions Specific meanings for important words used in

GFC Chapter 2: Management & Personnel

Employee health and Managerial knowledge Chapter 3: Food

Preventing contamination of food Chapter 4: Equipment, Utensils, & Linens

Specifications, use, and sanitizing


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GFC COMPONENTS

Chapter 5: Water, Plumbing, and Waste Water use and wastewater disposal

Chapter 6: Physical Facilities Fixed assets and its specifications

Chapter 7: Poisonous & Toxic Materials Use, restriction, and storage of haz. mat.

Chapter 8: Compliance and Enforcement Permitting, inspections, and enforcement

Annexes: Supporting information


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Proposed Guam Food Codevs.

Current Eating & Drinking R&R

Chapter 1 (Purpose and Definitions) Chapter 2 (Management and Personnel) Chapter 3 (Food) Chapter 8 (Compliance and Enforcement)


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Chapter 1 (Purpose and Definitions)

Eating and Drinking Rules and Regulations: 19 words used in regulations defined (ex: food, utensil)

Reflects knowledge and technology of the time (1984)

Proposed Guam Food Code: More expansive (119 words defined) Consistent with current knowledge and

technology in the food service industry and food safety


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Chapter 1 (Purpose and Definitions) continued

Examples of new terms defined: Water activity Balut Critical control point Major food allergen Reduced oxygen packaging Variance


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Chapter 2 (Management and Personnel)

Eating and Drinking Rules and Regulations Exclusion of ill food workers from job is absolute Employee cleanliness/hygiene limited

Proposed Guam Food Code Ill employee maybe restricted, but not excluded,

from job based on symptoms and population served Expanded provisions for employee cleanliness,

practices, and hand hygiene requirements• Ex: When, Where, and How for Hand-washing


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Chapter 2 (Management and Personnel) continued

Greater emphasis on demonstration of knowledge and abilities of Person-In-Charge (PIC)• Prevention of food-borne diseases• Personal hygiene & sanitation practices• Food microbiology

DEH inspector may “quiz” the PIC as part of the inspection


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Chapter 3 (Food)

Eating and Drinking Rules and Regulations Cold holding temperature is 45o F or less Gloves are not required

Proposed Guam Food Code Cold holding temperature is 41o F or less

• Reason: Listeria grows at 45o F No bare hand contact for ready-to-eat foods

• Reason: High infectivity of Norovirus Focuses on protecting Highly Susceptible Populations

• Preschool age children, elderly, pregnant women, immuno-compromised individuals


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Chapter 3 (Food) continued

Eating and Drinking Rules and Regulations: No provisions for Consumer Advisory

• Not required to warn consumers about eating certain foods that may be dangerous (raw foods)

Proposed Guam Food Code: Consumer Advisory

• Applies to animal food served or sold raw or undercooked (i.e., sushi, eggs sunny-side up)

• Require brochures, deli-case or menu advisories, label statements, table tents, placards, etc.


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Chapter 8(Compliance & Enforcement)

Eating and Drinking Rules and Regulations: Waivers and modifications allowed only for

Mobile or Temporary food establishments Proposed Guam Food Code:

Waiver and modification, known as “variance,” allowed for all retail food facilities

Must be approved by DPHSS and such approval will not result in a health hazard

HACCP and recordkeeping required


Hazard Analysis and Critical Control Point (HACCP) will not be required in the GFC, unless…

HACCP will be required if RFF is seeking a “variance” (modification/waiver)


Chapter 8(Compliance & Enforcement)

ANNEX 1

“Public Health Reasons” Provides justification and/or explanation

for each section of the GFC Helpful for regulator and regulatee


CHALLENGES

Language barriers HACCP plan development for variance Record-keeping for HACCP Resistance to change Bare-hand contact Consumer Advisory Enforcement


WHAT’S NEXT Bill 307-31 requires a public hearing

DEH will seek 1 year transition time DEH conducting survey of financial impact

No bare-hands, Lower holding temp., Consumer Advisory, Manager Certificate

Upon passage: Training of Code to DEH staff and industry Education and awareness campaign on Code Hand-hygiene campaign


ECONOMIC BURDEN in U.S. Food-borne Illness costs $77.7 billion a year

48 million cases; 128,000 hospitalizations; 3,000 deaths

$1,626 average per case Norovirus

• $673 average cost per case• $3.7 billion total cost per year

Listeria• $1.2 million average cost per case• $2 billion total cost per year

Excludes cost by PH to respond to outbreaks28

Thank You !Division of Environmental Health

Department of Public Health and Social Services

735-7221


bill 307-31 proposed guam food code 06.21.12 ghra 2 nd quarter general membership meeting presented...

Documents

membership meeting slide

food industry

food manufacturers

model food code

proposed guam food code

regulations ghra

sanitation ghra

deaths ghra