,. 11993 Winter

Canadian Institute€,J_o Z of

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BranchNews

SEPTEMBER- OCTOBER- NOVEMBER

Volume XIV Number 4, 1993ISSN Number I 0710 345X

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€ cip.hi .... ....CanadianInstituteof BRANCH NEWSPublicHealthInspectors

VOLUME XIV NUMBER 4, 1993EDITOR jJohnOrr

ONTARIO BRANCH EXECUTIVE INDEXPRESIDENT

MikeReid This Quarter ............................................................... Pg. 4Thunder Bay District H.U. • 807-824-2413Canadian Institute of Public Health InspectorsPASTPRESIDENT

HenryChong (Ontario Branch) Statement of Mission and

ScarboroughH.U.• 416-396-7431 Statement of Philosophy ....................................... Pg. 4SEC.- TREASURER President's Report..................................................... Pg. 5

Ben VaccaNiagaraRegionalH.U.• 416-688-3762 Curling Funspiel Information ................................... Pg. 5

COUNCILLORS1992- 1994 Report of Secretary-Treasurer .................................. Pg. 6AudreyDowner Eastern Area Executive Meeting Food Division Report ................ Pg. 7

Ottawa-CarletonH.U. • 613-722-2200Executive Meeting Communical DiseaseJohn MacDonald Western Area

Oxford County Board of Health • 519-539-6121 Division Report ...................................................... Pg. 7John Orr Western Area Executive Meeting Healthy Environments

Huron County H.U. • 519-482-3416Division Report ...................................................... Pg. 7

Jane Shimizu CentralAreaYork City H.U. • 416-394-2436 Executive Meeting Membership & Regional

COUNCILLORS1993- 1995 Chapter Division Report........................................ Pg. 7Mike GianfrancescoSouthwesternArea From Pig Farm to Pork Butcher to PartyWatedoo Regional H.U. • 519-747-2006

Salmonellosis .................................................... Pg, 8Donna Taylor Western Area

PerthDistrictH.U,• 519-271-7600 P.H,I.- F.Y.I.E coil 0157:H7 in Apple Cider .............. Pg. 8

Tim Worton Northern Area P.H.I.- F.Y.I.Barrier Chemicals Control Listeria ..... Pg. 9Sudbury District H.U. • 705-869-1231 Winter Driving - Be Prepared .................................... Pg. 9

HISTORIAN Minutes of Western Area Meeting ........................... Pg. 10Bill O'Donnell Algoma Health Unit

705-759-5286 Litigation and the Public Health Inspectors ............Pg. 11Public Health Inspectors' Directory Update ........... Pg. 12

COMMITTEE CHAIRPERSONS 1994 Slowpitch Tournament Information ............... Pg. 13

HealthyEnvironment Division Eastern Chapter Meeting Minutes Pg. 14Mike Gianfrancesco

Projects Division Article Submission Deadline for the Spring issue is February 15, 1994.Donna Taylor

Regional Chapter Division Published Quarterly by the Canadian Institute of Public Health Inspectors (ONTARIO BRANCH) INC.Box 1120, CLINTON, ONTARIO, N0M 1L0. Telephone 1-519-482-3416, EDITOR, JOHN ORR. The

John Orr Opinions expressed herein are those of the authorsand are not necessarilythose of membersof theC.I.RH.L ONTARIOBRANCH. Fullrightsare reserved.Materialmay be reproducedwithpermissionof

Food Division the Editor and Author. Subscription is $12. peryear. PublicationsMail RegistrationNo. 10350 held at

Audrey Downer Goderich, Ont. Changes of address, undeliverablecopiesand ordersfor subscriptions,to be senttoOntarioBranchNews, Box1120, Clinton,Ont., N0M 1L0.

Water DivisionTim Worton

General Government Division EXECUTIVE AT AREA MEETINGSJohn MacDonald Any "AreaoftheOntarioBranchthatwishesanexecutivemember

toattendany oftheirmeetingsto commenton BranchbusinessCommunicable Disease Division or any other reason should feel free to contact John Orr,

Jane Shimizu Chairpersonof RegionalChapters.Johnmay be contactedattheHuronCountyHealth Unit.

Corporate and Community Liaison DivisionHenry Chong

page 4 Ontario Branch News

This Quarter Canadian Institute ofI receivedgreat news thismorning- Audrey Downer, my Public Health Inspectors

friendfromthe OntarioBranchExecutive,calledto saythatanew daughterhad arrived. We have been callingthis baby (Ontario Branch)"Sydney"for monthsnow,and "Sydney"she is. I hopeto be STATEMENT OF MISSIONableto printSydney's baby pictures inthe nextissueofthe To advance,promote,and upholdthe professionof publicOntarioBranchNews. healthinspectionandto ensurethe attainmentof the highest

The October 22-24, 1993 Executive Meeting was professionalstandardsof practicefor itsmembers- andinsointeresting.A greatdealof workwas doneby PastPresident doing- to facilitatethe achievementof optimalhealth for allHenry Chong in compilingand updatingbranchexecutive persons who live, work or visit in Ontario by promotingbindersto describethe dutiesof each electedposition.The excellenceinenvironmentalmanagementthrougheducation,workwas excellentHenry-- on behalfofthe OntarioBranch advocacyand research.Executive-- Thank youHenry.

Past PresidentKlaus Seeger was able to attendandwas STATEMENT OF PHILOSOPHYpresentedwitha picturepointonbehalfoftheOntarioBranchmembershipfor his excellentserviceto the Branch. Thank AS MEMBERSOF THE INSTITUTE:you Klaus. We Believe:-

President Mike Reid welcomed the newly elected 1. That we have an obligation to maintain professionalcouncillors Tim Worton, and Mike Gianfrancesco to the competency.table. Councillor Donna Taylor was unable to attend the , 2. That we have an obligation to maintain the highestmeeting but will be received gladly at our next executive standards of professional conduct.meeting on February 4-5, 1994. 3. Thatwe should,at all times, attempt to maintain the integrity

If any of you readers wish to attend the executive meeting of the profession.a warm welcome will be extended to you as well. 4. That we should strive to ensure optimal health for theCouncillor Audrey Downer is pleased to report that new

residentsof Ontariothrough the maintenance of the highestforms are being created by the Province of Ontario, Ministry standards of environmental quality.of Health to record data during HACCP audits. Audrey hopesto have the new HACCP report forms ready for presentation 5. Thatwe should endeavourto keepthe public/our employersat the Spring Regional Chapters Meetings. aware of the importance of maintaining a high quality

Dan McMillan, Assistant Director of the Middlesex London environment.Health Unit has agreed to allow me to publish some of his 6. That all decisions made in the course of professionalwork. It is hopedthatyou will gain fromthe valuable information practice shall be based on the best available scientificallyincluded in Dan's articles. Thank you, Dan. valid data.

Have a safe, happy holiday season. Merry Christmas to 7. That effective environmental management can only beyou and a Bright Happy Prosperous NewYear. achievedthrough a multi-disciplinaryapproach to resolving

John Orr environmental issues.

from _ ..._e'l_ ('-'_I _.._i_l l"

Milte ReidAudrey Downer a

Ilenry Chon 9 member of the OntarioBranch Executive and

Ren ltacca her husband Jean GuyAlbert, a P.H.I. from the

lJ#drey _owner Leeds, Grenville, LanarkHealth Unit are

John Ma¢_on_tld extremely pleased to

John Ors" announce the safearrival of their daughter,

_!llne Shimiz# Sydney Chantal. BabySydney arrived on

Mi/ee Gietnt'r_lnce$€o November 9th, 1993and was 7 Ibs. 14 ,_

• onn# T#ylor ounces,Congratulations Audrey & Jean Guy! Your

Tim Werten executive partners are looking forward to meeting !Sydney at our next executive meeting. 1

!

WINTER Volume 14 No. 4 1993 page 5

PRESIDENT'S REPORT What struck me was the familiarityof this portionof the

Branch Executive Meeting documentandhowweare tryingto dealwiththesamethingsOctober 22 - 24, 1993 today - 23 years later.The issueof the job descriptionand

the realignmentof the BranchExecutiveto concentrateonMandatoryProgramsand those otherareas as identifiedin

by Michael Reid, Ontario Branch President ourstrategicplan haveto a great extendbeen addressed.Butwe are stillconcernedaboutthe encroachmentof other

I would liketo take thisopportunity agenciesonto our "turf", and the lossof what we considerto welcomeDonna Taylor andTim our "mandate".Worton asnewlyelectedCouncillors I'm surethat unlessyou have been outof the country foron the Ontario Branch Executive. the last 23 yearsor have beenlivingundera rockallof youTim's area of expertise will be the are quiteawareof the problem.ItappearsthatotheragenciesWater Divisionand Donnawill look seemto have unlimitedresources,manpowerandthe insideafterthe ProjectsDivision. trackto be abletotake overwhat we wouldconsiderto be in

"Up the years there have been ourjob description.The questionI thinkisobvious.What canwe do aboutthe

manyreportsindicatinginroadsupon erosionofourjobbase?Whatcanwedodifferentlythathasn'tthe inspection field from other been doneinthe past23 years?agencies.Thisconcernisat agrass- LivinginNorthwesternOntarioputsme "outof the loop"sorootlevelsinceithasadirectbearing as to speak in dealingona firsthandbasiswiththe powers

onthe employmentplans andthe publichealthprogramsof that be in the Ministry of Health, Agriculture, variousthe localinspector, associations, Health Units and members of the Ontario

The majorconcernof theindividualhasbeen fragmentation Branch.All forms of telecommunicationsare available forof hisdailyworkbyengineeringandveterinaryagencies.The communicationsbut firsthand and face to face are stillbest.paramedicalaspect of publichealth inspectionhas made it I feel that to some extend we as publichealth inspectorsindifficultto protectthe inspectorin some ways, while it has thisprovinceare also "outof the loop". We must renewouroffereda shieldinothers, effortstomaintainandnetworkmorecloselywiththe Ministry

of Health,Agriculture,etc. etc. andthe politiciansatQueen'sDespitemanyopinionsexpressedinannualmeetingsoverthe years,noreal answerhas been providedto the problem. Park. We must also try to understand and discover theparticularrestraintsordesiresthateitherdriveorhinderthemIt has never been possibleto agree upona job description or hurt us. Hopefully through mutual understandingandbecause of the variety of services and the different cooperationwe assist in workingout our mutualconcernsassignments across the country. The changing fields of andmisunderstandings.technologymakesomeresponsibilitiesbecomemundaneand We, the BranchExecutive,cannotdothisin isolation.Weuninteresting,and open new challengesfor changes.Some will need the inputof our membersto assist us in turningfragmentationhas been atthe inspectors'request, aroundwhatsomeof usperceiveto be a oneway street.We

Since no realand documentedevidenceexiststo provide willalsorequirethe assistanceofa firmorpersonswhohaveanswers,one must lookat view points.Does the individual the expertise in dealing with governmentagencies and inreally want to spend his career as a policeman with set particularthe Ministryof Health.One of the speakersat our

BranchAnnualMeetingin NiagaraFallsa year agourgedusregulations and limited scope, does he want to be aneducationalist,or does he want to have a flexible working toobtaintheservicesofsucha person,for withoutmovingin

thisdirectionwe willsee the steadydeclinein influenceandfield?Hisviewpointwilldependona choiceorpreferencefor positionin publichealth.work.

Throughitall,thepubliccontinuesto looktothe localhealthagencyforactiononanyproblemfelt tobe publichealth.Localgovernmentscontinueto requestinspectionin fieldsthatarenot reallyhealthy.In thisatmosphereof "demandservice" itwillbe obviousthat "quasi-health"workwillbe done andwillbe turnedovereventuallyto the properagencies.

Reading the history of fragmentation, as recorded,theproblemisoftenoneofpoorcommunicationorpoordefinition.What was consideredto be a prime invasionof authorityinonearea hadlongsinceceasedto be even a routinefunctionin another.Even the BranchCommittees had problemsinestablishingprioritiesontheirwork.

Thenationalviewpointhasnotcenteredonanyonespecificcase of fragmentation. The problem has been local orprovincial. It will continueas the inspectordevelops. Theprofessionis subjectto envy and other agencieswill makeinroads,but at the same time, it must be grantedthat the

,.' inspectorhas made inroadsintofieldswhichwere cherishedbyothers."The abovecommentswere writtenin 1970 and are found

in the document Up The Years by Thomas E. Elliott,C.P.H.I.(C) - A Sequel to In The Beginningby Alex Cross,C.S.I.(C), M.R.S.H., in 1961.

page6 OntarioBranchNews

REPORT OF THESECRETARY-TREASURER

by Ben VaccaThe followingfinancial statement has been preparedto

showthe Executivethe Branch'sfinancialactivitiesfor the PROXIES 93.15•periodApril 1, 1993, to September31, 1993. AREAMEETINGS 461.68

NOMINATIONS&BY-LAWS 511.13APPENDIX"B" HEALTHYENVIRONMENTS 509.56

CURRENTACCOUNTOpeningBalance13,059.16 COMMUNITY&CORP.LIAIS. 337.09GENERALGOVERNDIVISION 000.00

REVENUE FOODDIVISION 903.01Jobprofile REGIONALCHAPTERS 10.12FoodFitness 315.00 CCO 000.00DrinkingWater 340.00 NIAGARAINSTITUTE 196.00ThePHI 00.00 POSTAGE/PUROLATOR 49.11Salmonellosis 168.00 MILEAGE 583.69HepA 21.00 INFOSHARINGDAY 161.72HepB 42.00 MEALS 83.00Shigellosis 126.00 PROJECTSDIVISION 1,073.52Amebiasis 56.00 HEALTHYENVIRONMENTPROJECT 2,133.88Campylobacter 175.00 PUROLATOR 326.04Yersinosis 42.00 RYERSONAWARDS 200.00E.Coil 126.00 POSTAGE 148.20Giardiasis 119.00 BANKCHARGE 18.71P.H.I.PersonalDirectory942.00 GRANDANDTOY 296.54Pamphlets 2,472.00 BELLCANADA 742.89MEMBERSHIP(1992) THORELLIND.MINUTES 118.91MEMBERSHIP 5,360.00 CCOCONFERENCE 10,000.00 OPHAHACCP 600.00 INSURANCEBONDEDUCATIONHEALTHENV 15,000.00 MISCELLANEOUSEXPENSE 30.00GREATLAKES MEALS 105.00HEALTHEFFECTSPROJECT 720.00 MILEAGE/PARKING/TAXI112.56

AIRFARE 556.94ADVERTISINGOBN 493.00 HOTEL 258.31SUBSCRIPTIONS 00.00 NATIONALEXEC.MEETING 1,032.81ONTARIOBRANCHNEWS 493.00

TYPING 45.00TOTALREVENUE _ PHOTOCOPYING 388.12

BINDING

EXPENSE COVER 144.98PRESIDENT'SEXPENSES 155.08 ANNUALREPORT 578.10SECRETARY-TREASURERSEXPENSES600.00

NATIONALSUPPLIES 101.65MEALS 645.27 ASPHIO 78.60HOTEL 672.00 HARPWOOD 534.75MILEAGE/PARKING1,068.57 COMMERCIALPRINTERS 976.35AIRFARE 382.79

SIGNAL-STAR 2,069.59BRANCHEXECUTIVEEXPENSES 2,768.63 GODERICHPRINT 727.96

NEWSLETI'ER 200.00SEEDMONEY1994CONF 1,000.00 FILM 20.44

POSTAGE 70.13 JCONFERENCEREGISTRATION 2,250.00 ONTARIOBRANCHNEWS 3,079.12HOTEL 3,436.28 P.H.I.PERSONNELDIRECTORY 1,075.16MILEAGE/PARKING 735.57 GREATLAKESMEALS 1,451.00 HEALTHEFFECTSPROJECT 700.00AIRFARE 362.00 \

'IBRANCHHOSP.NIGHT 300.00 TOTALEXPENSE 30,045.32CONFERENCEEXPENSES 8,534.85

CLOSINGBALANCEADVISORYRYERSON 58.16FORSEPTEMBER30,1993MEMBERSHIP

WINTER Volume 14 No. 4 1993 page 7

EXECUTIVE MEETING HEALTHY ENVIRONMENTSOctober 22 and 23, 1993 COMMITTEE REPORT

Food Division Report by Mike Gianfrancescoby Audrey Downer

(1) PARTVIII -- DISCUSSION WITH THE UNIVERSITYThe FoodDivisionHACCP Committeemet at the Ontario OF GUELPH AND THE MOEE HAS

Ministryof Health on September 27, 1993. At that time BEGUN FOR THE 1994 WORKSHOP.discussionswere held with Dr. Chuck LeBer regardingcompletionof Phase I of the HACCP projectand plans to (2) HEALTHYENVIRONMENTS PROJECTbeginPhase II. -- MANUALDEVELOPMENT IS IN PROGRESS

FIRST DRAFT TO BE COMPLETED BY

Highlightsof the meetingincluded: MARCH 1, 1994.

1) Fundavailability m Fundsare stillavailablefromthefirstphaseof the HACCP projectandmaybe usedtosupplementfundsset aside for the secondphase.

2) Form reviewm Dr.LeBeragreedto makerevisedHACCPformsavailableto the OntarioBranchfor possiblediscussionat SpringRegionalMeetings. MEMBERSHIP AND REGIONAL3) Phase II seminars/workshops u A proposalwas put CHAPTER REPORTforward for the Ontario Branch/Ministryof Health, to host by John OrrPhase IIseminars/workshopsatthe 1994conference.Details

of this proposalare to be discussedfurther, with Ontario As of October8, 1993, therewere 408 regularmembers,BranchExecutivemembersandtheConferenceChairperson. 54 student members, 1 honourary member, and 2 new

members.The totalmembershipinthe OntariobranchwasDraft FoodPremisesRegulationswere alsodiscussedatthe 495.September27th meeting.Dr. LeBer stated that the OntarioBranchwill be invitedto commenton the final draft of the The followingis a membershipbreakdownnationally:regulationswhenthey becomeavailable.

BRANCHREG STURET RENDEC LIF HONNEWTOTALTheHACCPCommitteeispresentlycomprisedofthefollowing AB 091 002 009 001 000 003 000 000 106members:

BC 137 031 006 000 000 000 000 000 174

Audrey DowneruChair, OntarioBranchExecutive, MB 064 003 002 000 000 004 000 000 073FoodDivision ON 408 054 024 000 000 005 001 002 495

Dr. Chuck LeBer-- OntarioMinistryof Health QU 006 000 001 000 000 000 000 000 007Judy deGrosboir _ RenfrewCountyandDistrictHealthUnitToni D'Ettore--Middlesex-LondonHealthUnit SK 027 006 004 000 000 002 000 000 039John Fortuna_ HamiltonWentworthRegionalHealthUnit ATL 066 002 007 000 000 002 000 000 077Siobhan Lehmann--Ottawa-Carleton Health Department NB 021 007 000 000 000 000 000 002 030Donna Taylor-- PerthDistrictHealth Unit,OntarioBranch NF 022 001 001 000 000 000 000 000 024

Executive,ProjectsDivision OTHER 002 000 000 000 000 000 000 000 002Totals: 844 106 054 001 000 016 001 004

Communicable Disease Division Report TotalMembers,AllCategories1027

by Jane Shimizu Regional ChaptersAt the RegionalChapters Chairperson'sMeeting held in

Lastmeetingwas held September17th, 1993. Londonon Monday,July19, 1993therewasa consesusthatWe welcome two new members to the Division, Ann more membership inthe branchwould be attracted if:

H__gjwan- HaltonRegionalandCraigLawrie- LeedsGrenvilleDistrictHealthUnit. a) newlycertifiedPublicHealthInspectorsweresent letters

Tearoffsheetshavebeenreviewedandsuggestedchanges of congratulationsfrom the NationalPresidentwith anwillbe broughtforward at the next executivemeeting, informationpackageabouttheBranchandan application

Contactshave beenmade witheach HealthUnitto collect form.infectioncontrol,outbreakcontrol,rabiesandcommunicable

diseaseresourcelists.Linelistingsheetswillbe sentto each b) new memberswere to receivea first year reductionincontracttolistresourcesbycategory(e.g.:books,audiovisual, the costof membership,perhapstwentydollars.journals, articles, handouts, pamphlets, etc.) Information

; obtainedwill be placed ona diskettefor future distributionat c) new members wereto be encouragedto becomeactivea cost. in their branch's activities.

Questionnaires to solicit suggestions for a communicabledisease education seminar and a portion of the annual It is recommended that the National and the Provincialconference have been sent to Directors of Health Units. Brancheswill adopt thesecourses of action to obtain a greater

The Division anticipates a very busy 1993 - 1994. number of members in the very near future.

page 8 Ontario Branch News

EDITOR'S NOTE: Reprinted from Food Safety Notebook EDITOR'S NOTE: Reprinted from Food Safety Notebook,Palisade New York, July/August 1993. P.O. Box 700, Palisade NY U.S.A. 10964,June 1993.

AN OUTBREAK. OF SALMONELLOSIS:From Pig Farm to Pork Butcher to Party P.H.L - F.Y.L

E coil 0157:H7Towardtheend of July,1989 (a particularlywarm summer), .

an l 1-year-old girl in northern England who had recently Outbreak from Apple Ciderattended a function at a local club came down with food

poisoningdue toinfectionwithSalmonella typhimurium.Thirty An outbreakof Escherichia coil 0157:H7 tookplacein thepeople who had attended functionsin the communitywere autumn of 1991 in southeasternMassachusetts, and thereportedillinone weekwithfoodpoisoning,andthe outbreak subsequentinvestigationby researchersfrom the Centersultimatelyinvolved206 people, for Disease Controland Preventionimplicatedapple cider

It was determinedthat the organismresponsiblewas S fromoneparticularcidermill.The outbreakwassignalledbytyphimurium DT 193, resistantto ampicillin,streptomycin,sulphonamidesand tetracycline,and possessinga single theadmissionoffourchildrenwithhemolyticuremicsyndromeplasmidof size 80 MDa. (HUS)to thesame Bostonhospital.Atotalof 18victimsaged

A telephone interview with 91 S typhimurium cases twoto 70 yearswere identifiedby Januaryl 0, 1992, atwhichsuggestedthat cold meatswere the vehicle of infection.A timea publicwamingabouttheciderwasissued.Thatwarningcohortstudy establisheda significantassociationbetween ledto the identificationoffive additionalvictims.illnessandconsumptionof porkproductsfromoneparticularbutcher'sshop. Signs and symptoms. Of the 18 initialpatients,96% had

Althoughthe shop itself was well maintainedand clean, diarrhea,87% abdominalpain, 70% bloodydiarrhea, 35%withcookedmeatsstoredseparatelyfromrawmeats,several vomiting,and 17% fever. Four childrendeveloped HUS; aprocessingproblemswere discovered: fifth probably had subclinical HUS. There were six

hospitalizationsbut no deaths. E. coil was confirmedin 22• The ham andporkwere cookedin a boilerformanyhours, cases.

but the thermostatwas notcheckedroutinelyagainsta

thermometer reading. Exposure to the cider. In the initialinvestigation,13 of the• No internalprobeswere usedto checkthe temperatureat 18 patients(72%) reporteddrinkingapple cider purchased

the core of the meataftercooking, fromthe samefarmstand,comparedtoonly16of 49 matchedcontrols(33%). Three additionalpatientslater remembered

• One of the elementsinthe boilerhad burntout. drinkingcider,a fourthpatient (two years of age) probablyhadciderawayfrom home,and a fifthpatientlivedwithand

• The cookedmeat was placedina coolingbaththrough caredforthreechildvictims.whichcold water was run,butthe supplywas cutOff The smallestamountof ciderconsumedby patientswaswheneverwater was requiredelsewhereinthe shop. four ounces. No one noted an abnormal flavor, odor, or

appearanceto thecider,whichhadbeen kept refrigeratedin• Thecookedhamwasthenrefrigerated,buttheporkpieces, all households.

after they hadbeenflash roastedina 260 oovenfor30 to45 minutes,were left on a benchat ambienttemperatureuntilthe next day. New England cider mills. The suspect mill produced

relativelysmallamountsof unpasteurized,preservative-freeThe investigatorslearned that duringJuly 1989, all pork cider.Ninetypercentofthe applesusedwere "drops"collec:ted

processedorsoldat the shop hadcomefromthesame local from the ground. The apples were not washed prior topig farm.Pooledfecal samplestaken fromthefarmonAugust pressing,whichwas not unusual;an anonymoussurvey of11 and a sample swab placed down a drainyieldedstrains 36 cider manufacturersattendinga trade show in January,laterconfirmedas S typhimurium DT 193. 1992 revealed that all used "drops", and only 12 (33%)

The butcher'sshop closed voluntarilyon July 28. It was routinelywashed and brushedthe apples before pressing.reopened after a test run to evaluate the effects of Fourofthesixlargeproducerscleanedtheirapples,comparedrecommendednew processingprocedures(which included to eightof the30 smallproducers.newequipmentfor meatcooling),andimprovedhand-washingfacilities.

HCF Maguire et al, A Large Outbreak of Human Apple cider as a vehicle. The investigators inoculated theSalmonellosis Traced to a Local Pig Farm, Epidemiology & unpasteurized, unpreservedcider samples with the outbreakInfection 110(2):239-246 (Apr 1993) [Correspondence: HCF strain of E. coll.Acidity of the ciders varied from pH 3.6 to 4.0Maguire, PHLS Communicable Disease SurveillanceCentre, -- a level not considered potentially hazardous by the FDA.61 Colindale Avenue, London NW9 5EQ, UK]. When held at room temperature of 25°C, bacterial counts

declined until the seventh day, at which time they were nolongerdetectable.Yetwhen refrigeratedat 8°C, slight bacterialgrowth occurred, and the E cofiwere still detectable after 20 ._days. Adding 0.1% sodium benzoate prevented E coilgrowth ' iduringrefrigerationand reduced countsto undetectable levelswithin seven days. Adding 0.1% potassium sorbate hadessentially no effect on E coil survival.

Continued on Page 9

WINTER Volume 14 No. 4 1993 page 9

Continued from Page8 Listeria in products with extended shelf life, such ascommercially formulated salads and spreads. Recent

Although apple cider is an unexpected food poisoning research presented to the 1993 Refrigerated Foodsvehicle, two previous outbreaks involving cider have been Association Conference in Atlanta evaluated the effects ofreported. Victims in a 1980 Canadian outbreak suffered different barrier chemicals on the survival of Listeria in thesediarrhea and HUS highly suggestive of E cofiO157:HT,and a foods.1974 New Jersey outbreak of Salmonella typhimurium was

The initial pH of the products ranged from 4.1 to 5.0. Theylinked to apples collected under trees fertilized with cowmanure, were inoculated with Listeria monocytogenes and stored at

both 4° and 12°C until past their recommended shelf lives.Preventive. Apples must be freed of debris, brushed and The added barrier chemicals included acetic acid, sodiumwashed prior to pressing. Disinfectionby pasteurizationwould lactate,ALTA2341, lysozyme,anda mixture of sodium citrate,ensure safety,or addition of 0.1% sodium benzoatewould be ascorbate and diacetate. Levels of Listeria declined with thevery helpful.The industry must developappropriateguidelines, addition of all the barrierchemicals to the spreads andsalads,In general, better detection and mandatory reporting of and declined most when acetic acid was increased. ALTAsuspected E coil 0157:H7 infections are needed. 2341, a microbial fermentation product, was also effective.

An outbreak of EcofiO157:H7 illustrates several disturbing Claudia O'Donnell, Solving Salad Bar Listeria, Preparedtrends in microbiological food poisoning, according to an Foods 162(6): 45-46 (May 1993)editorial epidemiologists from the Minnesota Department ofHealth. One is the unexpected nature of the vehicle. Recentlytomatoes and cantaloupes were implicated in salmonellosis WINTER DRIVING:outbreaks,and appleciderwith its relativelyhighacidityseems prepare your car for the worstan equally unlikely vehicle for food poisoning bacteria.Investigatorsare likely to overlook suchfoods. Asecond trend Don't wait until the worst storm of the seasonto find out you

should havepreparedyour car for winter.' isthe emergence ofnew pathogens: Listeriamonocytogenes,Norwalk virus, and Campylobacter, for example, and in this The Canada Safety Council recommendsthat you take your

vehicleto a reputablegaragebeforewinterstarts,for acompletecase EcofiO157:H7. Athird trend, reflecting the nature of ourfood distribution system, is that foodborne illnessesare apt to tune-up and inspection.This advice is even more important ifbe sporadic and widely dispersed in the community, your work involvesa lot of time spenton the road.

These trends pose a challenge in preventing, detecting, As your garageto check the following:and responding to foodborne illness. In the case of E coil Battery-- Don'ttake itfor grantedthatyour batterywill see0157:H7,thechallengehasnotbeenmet. Physiciansareoften youthroughanotherwinter.Batterypowergoesdown in coldunawarethat it is a majorcause of bloodydiarrhea,and are weather.Geta charge,ora newbattery,ifyouneedone.unlikelyto requestappropriatediagnostictests.Moreover,few Brakes-- Havethe equalizationchecked.If yourbrakespullclinicallaboratoriescan providethesetests. Surprisingly,as youto oneside,youcouldendupina dangerousskid.of October 1992 only 11 US states requiredE coil 0157:H7 Tires-- Ifyoudon'thaveall-seasonradialsin goodcondition,reporting,andonlyfourstatesrequiredthat hemolyticuremic putyoursnowtiresonbeforethefirstsnowfall.TheSafetyCouncilsyndrome-- an importantsentinelof a largeroutbreak-- be recommendssnowtires on all four wheels.Check yourtire "reported, pressureregularly.

The authorsof thiseditorialdetailneededimprovementsin Windshieldm Checkyourwipersandreplacethemif they're"education,surveillance,andresponse,andurgethatadequate crackedorworn.Makesuretheyhaveenougharmtension.Stock'

i_ financialresourcesbe allocatedto the effort, uponwindshieldwasherantifreeze.RichardE Besser et al, An Outbreak of Diarrhea and

I Heatersanddefrosters_ Makesurethey'reworkingasthey"HemolyticUremic SyndromeFromEscherichia coil 0157:H7 should.in Fresh-PressedApple Cider, J American Medical Assoc269(17):2217-2220(5 May 1993)[Reprints:RichardEBesser, Muffler-- Havethe entireexhaustsystemcheckedforleaks.

Carbonmonoxidekills.Leaksare especiallydangerousduring

fi MD, Centers for Disease Control and Prevention, EntericDiseases Branch, Mailstop C09, Atlanta GA 30333] coldweatherdrivingwhen your windows areshut tight.

Kristine L Macdonald and Michael T Osterholm, The And makesure to take severalimportantstepseveryday.•Emergenceof Escherichia coil 0157:H7Infection in the United Alwayskeepyour gastankfull.Afuntankavoidscondensation,States: The Changing Epidemiology of Foodborne Disease whichcould cause your gasolineto freeze.You'll also needit if[Editorial], J American Medical Assoc 269(17):2264-2266 (5 you get stucksomewhereand have to wait for help to come toMay 1993)[Reprints: Kristine L MacDonald, MD, MPH,Acute you.Disease Epidemiology Section, Minnesota Department of CheckyourwindshieldwasherantifreezeleveibeforeyouheadHealth,717 DelawareStreet SE, Box9441, MinneapolisMN out,and cleanyour headlightsandtaillights.Roadspraycan5540] easilycoatyourwindshield,windowsand lights,reducingthe

lights'efficiencyandyourall-importantabilityto seed.

P.H,I. - F, Y.1. The Safety Councilalsorecommendsyou carry the followingbasicequipmentfor winterdriving:scraperandbrush,shovel,

Barrier Chemicals Help Stop Listeria tirechains,wedges,sand,facialtissues,sparetire,wheelwrench,Reprinted from Food Safety Notebook tirejack,pliers,flashlight,flares,batteryjumpercables,firstaid

June 1993 kit,gasolineantifreezeandan extrasetof keys.Forlongerorremotetrips,alsomakesuretotakeanemergency

Listeria monocytogenes is naturallypresentinmanyfoods kit includingmatches,widecandles,an aluminummugandpot.inlowconcentrations.Thepathogencan producethedisease orsmallheatingcans,blankets,woollenmittsandsocks,awarm.listeriosis, which commonly presents itself in adults as hatandboots,rags,knifeandfork,drinkingwaterandhigh-calorie,meningitis. There is concern about the concentrations of non-perishablefood.

page 10 OntarioBranchNews

MINUTES OF WESTERNAREA MEETING BUSINESSARISINGFROMTHEMEETING:October 27, 1993

at the Clinton Office, Huron County Health Unit 1. John err made a motion:to presentan inscribedgift toour guestspeaker_Ron Hawke; the gift notto exceed$25.00.

Chairperson: Manuel de Freitas Seconded: Kathy BraetSecretary-Treasurer: Mike Pape Approved:All

Carried.Attendance:

15 PHre were present from the following Health Units:

> Kent Chatham Health Unit GENERALDISCUSSION> Huron County Health Unit

> Middlesex-London Health Unit 1. Klaus Seeger discussedthe possibilitythat the Ontario> Oxford County Board of Health Branchendorsesucheventsas Earth Day. Health Day.> Perth District Health Unit andEnvironmentWeek.The feelingwasthat thiswould

elevate the profileof the P.H.I. Events such as Health• Sarnia-Lambton Health Unit UnitsponsoredPostercontests,etc. were discussed.• Bruce-Grey Health Unit

2. Klaus Seeger also suggestedacross ProvinceE. coilManuel de Freitas introduced Jim Reffle. Assistant 0157:H7survey be undertaken.

Director,withthe Middlesex-LondonHealth Unit. Mr. Refflefacilitateda HealthyEnvironmentsFocusGroupSessionwith 3. John err related that Mike Reid, Ontario Branchallattendanceat the meetingparticipating. President,had given his regretsthat he was unable to

A brief outlineof the Healthy Environmentswas provided attendour meeting.by Mr. Reffle. He explained that this document has beencirculatedin its draft form to all Health Units in December 4. John err alsoupdatedmemberspresentbyinformingus1992 and was subsequentlyrevised in March 1993. The that DonnaTaylor of Perthis Projectsco-ordinatorandOntario Ministry of Health is supportive of the Healthy that John MacDon_!ld is Chairman of the GeneralEnvironmentsmanualand Trish Powell is currentlyworking GovernmentDivisionfor the OntarioBranch.withthe HealthyEnvironmentsmanualsteeringcommitteeatthe Ministrylevel. 5. A general discussion about guest speakes for the

upcomingOntarioBranchConferencewasheld.AnyoneThe objectivesofourFocusGroupwastoidentifythefollowing: with ideas or suggestionscontact the Ontario Branch

Executiveof the appropriatedivision.1. identifyskillsandcompetenciesneededto implementthe

Healthy Environmentsmandatoryprograms, r GLO GERM "1

2. Establisha listofskillsandcompetenciesneededby Public "Germs" You can SEEHealth Personnel.

3. Establish and implement a needs assessment survey "-

questionnaireto be circulatedto all PublicHealth Units. Since 1968 the GIo-Germ r---JCompanyhasprovidedteaching "_ _ = _ l

With these objectives in mind our members were divided hospitals,clinics,schoolsand tT_ . I Iinstitutions with this unique _ I , _J 1

into three groupswhere heateddiscussionensued, product.Theprovensafeinert ,_ ' /• . . s

Mr. Reffle then facilitated a wrap up of this sessionand mgredicntslnthc"GIo-Germ"B , _ ]gleaned necessary informationforthe next step whichis to lotionorpowdercastarevealing _ tI |establisha NeedsAssessmentQuestionnaireforcirculation glowwhenexposedtostandard T---_--_%."-_._I 1

UVlight.Usedin a teachingor _ _ _ _ [to Publich Health Inspectors. training session, the glow _ _._ _ _ /

Manuelde Freitasthenintroducedourguestspeaker,Mr. graphically shows a student or _ _ ', |Ron Hawke, of the PalmerstonPublicHealthLab.Mr. Hawke staffmemberwhenimproper _ _, |facilitateda discussionofthe roleof the lab inoutbreaksand cleaning hastakenplace. _ I

investigationsand also in proper samplingtechniques.Mr. FREE 1e-DAY TRIAL |Hawke reinforceda commonpublichealththeme,thatofdoing We will send you a complete kit for 1o days with no cost or obligation. 1

morewithlessandeliminatingunnecessaryandwastefulwork. w,iteor(:lipandmailthisorderblank to_

Business /

BUSINESS MEETING Name . /

Minutes of the May 12, 1993, meeting were read by Mike Address /City. _ State Zip_ l

Motionto acceptthe Minutes:Klaus Seeaer /Seconded:Kathy Braet t;lo-L;erm I_:ompany 1Approved:A[I EO. Box 537, Moab, Utah 84532 l

Carried. • !-800-842-6622orFAX (80]) 259-5930 )

WINTER Volume14 No. 4 1993 page 11vwz_z,.-r_volume ]4 wo. 4 1E1_3 page 11

EDITOR'S NOTE: The following article is reprinted with the them for enforcement activities they will encounter as districtapproval of the author. The author, Dan McMillar! is an public health inspectors.An organized program that providesAssistant Director at the Middlesex London Health Unit. studentswith classroomtheory and observationof enforcement

in the field would lessen their anxiety and reinforce theLITIGATION AND THE P.H.L expectationthat enforcementwill be a routinepart of a PHIs

An Opinion Paper career.The classroomportionshouldincludea solidgroundinginby Dan McMillan the procedures and forms necessary for legal activities.

Studentsshoulduse role playingderived from actualcaseswhichproceededfrom inspectionto court.The case studies

"The greatest challenge facing public health inspectors shouldincludeall aspectof enforcement.todayis in strikingan appropriatebalance betweenservingas educatorand enforcementofficer."* EXAMPLES: PHI Orders

Copingwiththe dual,andoftenconflictingrolesofeducator MOH Directionsandenforcerhaslongbeena sourceofconcern,controversy,and consternationfor public health inspectors.We have ProvincialOffenceNotices(Tickets)received mixed messages from our training programs, Summonssupervisorsandcolleagues.Healthunitsvery widelyintheiruse of enforcementstrategiesas a part of theirfoodsafety Warrantsprograms.Some arevery active;givingOrdersundertheAct,

issuingProvincialOffence Notices and Laying Information, Fieldtrainingshouldstipulatethatstudentsobserveroutinewhileothersrarelyif ever resortto legalactionas a meansof enforcementactivitiesinthe field andactualcourt cases.gainingcompliance.

The reluctanceexhibited by someHealth Units,and many (3) Lack of Support for Leqal ActivitleRindividualinspectorsto pursuelegal actioncan probablybe Most health unitsdo not have a legal departmentat theirattributedto one or moreof the following: disposal.The cost of usinglawyerson retainerto reviewall

Orders,DirectionsandChargesisprohibitiveformanyHealth(1) Philosophicaloppositionto initiatinglegal action (PHI, Units and is notviewed as a priorityby many others.As a

Director,M.O.H. or Board). result these activitiesare left to less qualifiedpeople whomuddlealongwithvaryingdegreesof success.

(2) Lackof trainingintechnicalaspectsof legalaction. TheMinistryofHealth'sLegalBranchdoesnothavean activesupportrole in environmentalhealth. Changesin legislation

(3) Lack of supportfor legal activities, are often discovered by individual health units withoutannouncementsorbulletinsbeingprovidedfromthe Ministry.

(4) The pemeption,on the partof the inspectoror theoperator, Forinstance,the regulationnumbersandthe ProvincialOffencethatenforcementis notanintegralpartof thePHrs duties. Notices(tickets)were recentlychangedand no noticewas

receivedfromthe Ministryof Health.There maybe other influencesthat I havefailedto identify

andI wouldconsideranysuggestionsthatare offered.But,at (4) Theperception that enforcement Is not an integral Dartthistime I will expandonthe 4 notedabove, of the PHI's duties.

i Public health inspectorsdo notwear uniforms,carry guns,(1) Philosophical Opposition ordrive specialcars, thus,their powerto enforcelaws is not

It is myunderstandingthatsome HealthUnits(Boardsand readily apparentto the general public oroperatorsof foodmanagement)havenotencouragedorhaveevenencouraged premises.When you combinethisimagewith the attitudeofthe use of legal actionin gainingcompliance.This attitude many PHl's it is not surprisingthat some food premisesthen reinforcesthe oppositionthat many staff inspectors operatorsdonottakeusseriously.I haveseenmanyoperatorsalreadyhaveto enforcement, becomevery surprisedand agitatedwhen confrontedwitha

PHIsdonotwanttobe viewedas "police"orenforcerseven ticket,a closureorderorthe destructionoftheirfood.They didthoughthey are chargedwiththe responsibilityfor enforcing notbelievethatwecouldorwoulddo sucha thing.The policemuchofthe HealthProtectionActandseveralof itsregulations officerwho stopsa motoristhas no such misconceptionto

r includingthe foodPremisesRegulation. overcome.Driversknowthatthereareconsequencesforfailureto obeytrafficlaws. Foodpremisesoperatorsmust learn the

* Page32, RegionalMunicipalityof Ottawa-Carleton'sIntemal same thingaboutthe Food PremisesRegulationand publicAuditor'sReport,August1992. healthinspectors.

I believethatthisreluctanceto enforce;this=philosophical Conclusionopposition"extends through the health units and into the PublicHealth inspectorsare notpoliceofficersandthey are

Ministryof Health and is manifestedin the lack of financial not teachers but their job requires that they have manyand operationalsupportfor enforcementactivitieswhichwill attributesofboth.Ibelievethatthepublichealthpendulumhasbe discussedater. swung to the education/promotionside and away from the

enforcementside. It is myopinionthat itshouldswingbackto(2) Lack of trainin9 in leQalaction the middlewhere education and enforcementare of equal

The EnvironmentalHealthcourseat Ryersonand the field importance. Where funding, training and support systemstrainingprovidedto studentsdoes not adequatelyprepare =strikeappropriatebalance".

page 12 Ontario Branch News

Past President Henry Chong presented Klaus Seeger with this print in appreciation of the many years of serviceKlaus has donated to the Ontario Branch and the Public Health Inspectors' profession.

i

CITY OF SCARBOROUGH Preventive Clinical Services

Public Health InspectionDirectory Update (CommunicableDisease Control)2nd Floor-- (416) 392-0927

The following inspectorswere omittedfromour listingfor Jane Urquhart,Supervisor

the Directory. AnnaO'ShaughnessyDanny Kartzalis,SeniorPublicHealth Inspector All RampartabPaulMcCue, Senior PublicHealth InspectorEDITOR'S NOTE: The Branch thanks Paul Higgins, Director NORTHERN HEALTHAREAof Inspection of Scarborough Health Department for the 188 EglintonAve. E., 5th Floor,Toronto,Ontario, M4P 2X7update. (416) 392-0975 FAX: (416) 392-0716

Rise Kogon,ManagerEnvironmentalHealth Services-- (416) 392-0969Peter Gauthier,Supervisor

MargueriteWong, ProgramPlannerReggieSzava, EducationConsultant

CITY OF TORONTO Les Nicholson,Community Health Officer

Pubfic Health InspectionDirectory Update John Richmond, Pest Control InvestigatorRegAyre

EDITOR'S NOTE: The following is the present staff P.H.I. Margaret Breenlist of the Toronto City Health Department. Thanks to Pare DeborahCornacchiaScharfe for the update. Charles Empringham

Estelle Mo-WongEASTERN HEALTH AREA Derek Sire235 DanforthAve., 3rd Floor,Toronto,Ontario M4K 1N2 Randy Singh(416) 392-0947 FAX: (416) 392-0714 Joe Wong

Rise Kogon,Manager, EnvironmentalHealthServices PreventiveClinicalServices2nd Floor- (416) 392-0936 (CommunicableDiseaseControl)-- (416) 392-0962

Peter Gauthier, Supervisor Sharron Pollock, Supervisor

John Burnett, Program Planner Tom NataleLinda Craig, Pest Control Investigator Karen WarkGord ChanMarynisha Moola WESTERN HEALTHAREAAnthonyNikolopoulos 2340 DundasSt. W., Toronto,Ontario,M6P 4A9LarryOxley (416) 392-0996 FAX: (416) 392-0716DevinderSahota RichardBoehnke,ManagerMarkShaw EnvironmentalHealth Services- (416)392-0978BambisTheocharis Pamela Scharfe,Supervisor

WINTER Volume 14 No. 4 1993 page 13

Victor Yeroschenko, Program Planner f _,_Ken Simpson, Pest Control Investigator _EFLT_IT_#:E_LT_EL_Susanne ArmstrongDenzil Brown

Jim Cave _ (.__ t_'Wendy HarrisonBen Heywood

PaulImperiale The founding Fathers of the HealthPaul PongFrankShum Inspection Slow Pitch Tournament areMaryWitruk pleased to announce that this 20thPreventive Clinical Services Anniversary event is returning home(Communicable Disease Control) tO Ottawa-Carleton.1115Queen St. W., M6J 1J1 Thisspectacular event will be held(416) 392-0884 FAX: (416) 392-0631 the weekend of July ] 5th through

Deborah Fleiszer 17th. Games will be played at theSamThomas beautiful world famous R.A. Center.

Seventy-five rooms have been setaside at the recently renovated

TORONTOCITYHEALTHDEPARTMENT luxurious Talisman Hotel. (The TalismanDOWNTOWNHEALTHAREA has 2outdoor pools, so don't bring too

; 277 Victoria St., 5th Floor,Toronto, Ontario, MhB lWl many clothes.)i (416) 392-7461 FAX: (416) 392-1482

.!'_ Jim Flaherty, Manager, Environmental Health Services Every health unit will soon ber 3rdFloor receiving a brochure outlining event

(416)391-7685FAX:(416)392-1482 dates, times, locations, and hotelDave Harrison, Supervisor booking information.Joann Braithwaite, Infection Control For information contact WayneArthur Baszak, Pest Control Investigator Desormeaux or Becky Hesterat (613)George AregersAlan Banks k,_.-2-2200' j

?p

Kathy Conlon

Dan Graham Your Ontario BranchMonica McKenzieBruceMartin Provides Educational MaterialsPeter Moody FOR MORE INFORMATION CONTACT:Maurice MoffettVincenza Pietropola Ben VaccaMarilyn Small 6144 Belair Avenue, Niagara Falls, Ont.Fred Taylor L2H 1V2Uwe Vortisch Res. (416) 374-1024 Work. (416) 688-3762 Ext. 216Tom Wong Fax. (416) 682-3901Jane YingJoe Xavier

Preventive Clinical Services -- (Communicable Disease Control)4th Floor(416) 392-7420 FAX: (416) 392-0667

Mohamed Jabar, SupervisorPaul DiBattistaDon Sutherland

Department Reassignments

Tracy Leach, AIDS Community ProjectsOfficer (416) 392-0064Bessie Shaw, Drug Abuse Prevention,Community Health Officer (416) 392-0809Deborah Wharton, Community Health Officer(416) 392-7415

page 14 OntarioBranchNews

Canadian Institute of Pubfic Health Inspectors _ EASTERN AREA MEETINGRoyal Canadian Legion Hall, Perth, Ontario November 3, 1993

Present: Area Chairman- TedKing ActingSecretary- DavidCooke

Twenty-sevenpeople representingthe followingHealth Unitsattendedthisone day meeting:Kingston,Frontenacand LennoxandAddingtonLeeds,Grenvilleand LanarkDistrict Ottawa-CarletonRegionalHaliburton,Kawartha,Pine RidgeDistrict Hastingsand PrinceEdwardCounties

AGENDA ISSUE/DESCRIPTION ACTION1. Welcome TedKing,AreaChairman,welcomedeveryonetoPerth

2. GuestSpeaker,Dr.LindaPanaro, Dr.Panaropresenteda veryinterestingandinformativediscussiononAMOH,TheRegionalMunicipality EnvironmentalRiskAssessment.Shecoveredthebasic3 stepsinevaluatingaofDurham. potentialrisk:1.RiskAssessment2. RiskEvaluationand 3. RiskManagement.

Allthesestepswerethoroughlyexploredandexcellentlypresented.Sheemphasizedthatweas Inspectorsaremajorplayersintheseassessmentsandareresponsibleforpreventioninthelongterm.

3. Area4 BusinessMeeting Previousminutesof May5, 1993werereadandadopted.

BusinessArising:Mr.King,AreaChairman,informedthemembershipthathehadcontacted ForInfoMr.Chong(PastPresident)todiscussthedirectionoflicensingandregistration.HewasadvisedthatcurrentinformationonthissubjectwaspublishedintheOntarioBranchNewsFallVolume14No.4 Page7(RegulatedHealthProfessionsAct.

Mr.KingadvisedthemembershipthatAudreyDownerwouldnotbepresentassheisonleave.Heinformedthegroupthatnextyear'sBranchConferencewillbeheldinNiagaaFallsandwill includea fulldayonHACCP.AlsotheCommunicableDiseaseCommitteeanticipatesInserviceTrainingSeminarsinthenearfuture.

Questionsfromthefloorre:

MembershipinHealthUnitsnotbeingadvisedof changestolegislation.DraftwascirculatedbutnotallHealthUnitswereaskedforcomments.

Motionfromthefloor:

ThatpresentlymembershipisnotbeingadvisedquicklyenoughofchangesinLegislation.CanadianInstituteof PublicHeal|hInspectorstolookintothis.OntarioBranch)consultwiththeMinistryofHealthtoimprovemethodofcommunicatingchangesinlegislation.

MotionbyGeraldDupuis,secondedbyKathyDyment,passed.Questionfromfloorre:

HealthyEnvironmentsProgram.Isitcomingonlinesoon?Mr.Kingadvisedthatthe FurtherinformationMinistryofHealthisbeinglobbiedtoimplementtheHealthyEnvironments can befoundintheProgramintheMinistryofHealthMandatoryHealthProgrammesandService OntarioBranchGuidelines.Businessmeetingadjournedat 1:40p.m. Number4, 1993

Page11.

4. Guestspeaker,P.M.Session- Workshop Dr.Panaroledthemembershipthrougha mocktrial.GroupswereformedbyDr.LindaPanaro representing:TheRegulators,BigBusiness,ScientificCommunity,TheMedia

TheFarmersandTheParentsofyoungchildren.

They'reobjectivewastoexchangeviewsontheuseofAlar,a chemicalusedintheagriculturalindustry.Theviewsandverbalexchangesof themembershipclearlyshowedwearewellinformedandcanhavefunatthesametime.Manythanksto Dr.Panarofora verywelldonepresentation.

/ Meetingadjournedat3:30p.m.Nextmeetingisscheduledforthespringof 1994andwillbehostedbyHastingsandPrinceEdwardCountiesHealthUnits(tentative)

/AreaChairman RecordingSecretaryL.E.King DavidCooke

WINTER Volume14 No. 4 1993 page 15

POINTS TO PONDER

EDITOR'SNOTE:DanMcMillanreportsthattheMiddlesex-LondonHealthUnitpublichealthinspectionstaffwereexperiencingsomedifficultyin

providingfoodhandlertrainingto foodhandlersworkingat the WesternFairinLondon.Thesecarnyfoodhandlerswerereluctanttoparticipatein thenormalfoodhandlingcourse,whichwereofferedovera several

weekspan- so a shorttwo hoursessionwasdeveloped.Partof theeducationalmaterialsprovidedto the"CarnyWorkers"included=Pointsto Ponder".Thisis a list of mostcommon

infractionsfoundin the=carny"settingandtheresultingfinesthatwouldhavetobepaidwhena provincialoffencenoticewaslaid.Danindicatesthatthepublichealthinspectionstaffhadmuchmoreco-operationfromthe =Carnyfoodhandlers"thanhadbeen

experiencedinthepast followingtheir twohourfoodhandlers'trainingcourse.I thoughtthat the listmaybe usefulto you, thereader,inyourfoodhandlereducationprogram.

FACTS FINES

1. All "Hazardous Foods" (e.g. meat, poultry,dairy) must be maintainedat a $105.00Hot Holding Temperature of 60°C/140°F or higher and/or A Cold HoldingTemperature of 5°C/40°F or lower.

2. Accurate food thermometers must be available. $55.00

3. All food products must be displayed in such a manner to be protected $55.00from contamination.

4. Avoid unnecessary stacking of hazardous cooked food products. $105.00

5. Provide refrigerated space adequate for the safe storage of perishable and $105.00hazardous foods.

6. Hot and cold water under pressure must be available for handwashing $40.00and washing of utensils.

7. Provide a handwash basin in a convenient location inthe food preparation area. $55.00

8. Provide a supply of hot and cold water, soap or detergent in a dispenser and $40.00single service paper towels at the handwash basin.

9. Use a proper sanitizer to disinfect utensils and food contact surfaces (e.g. Javex) $55.00

10. Dispensing scoops and dippers for ice cream must be kept in a dipper well $40.00with running water or any other manner that will prevent bacterial growth.

11. Wash hands before starting or resuming work and after each use of the toilet, $40.00urinal or privy.

12. Headgear must be worn to confine the hair. $40.00

13. Absolutely "No Smoking" in the food preparation area. $40.00

14. Clean outer garments must be worn in the food preparation area. $40.00

15. All liquid wastes from the operation of a food premises shall be disposed of in a $40.00sanitary manner.

16. Provide garbage containers of durable leakproof material with lids. $40.00