Food and drink safety
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This document provides information and guidelines for eating and drinking safely while traveling abroad. It discusses various food and water-borne illnesses and their symptoms. It emphasizes following proper hygiene practices like hand washing, using clean utensils and dishes, and avoiding unsafe foods like raw fruits and vegetables, salads, custards, and unpasteurized dairy. Boiling, cooking, peeling or avoiding foods are recommended to prevent illness. Drinking only boiled, bottled or treated water and avoiding ice is advised. Active prevention through designated eaters and small portions is suggested if unsafe food is served.
![Outbreaks of diarrheal illness are common from safe bottled water.[Wisconsin, Lima, Mexico and Perus San Antonio]394-10AMLT - HondurasThe Story on Bottled Water](https://image.slidesharecdn.com/food-drinksafeyamlt2010-110110131008-phpapp01/85/Food-and-drink-safety-43-320.jpg)
![What if you are served unsafe food?Try not to offend.Eat small portions. [risk of diarrhea linked to size of inoculum]Have a designated eater. [someone w/ indigenous bowel flora]534-10AMLT - Honduras](https://image.slidesharecdn.com/food-drinksafeyamlt2010-110110131008-phpapp01/85/Food-and-drink-safety-57-320.jpg)
Food and drink safety
- 1. Food and Drink Safety4-10 Hugh J. Davis RN, MHA,MPH Betsy Christiansen BSN, RNAMLT - Honduras1
- 2. In the field, remember:1.Eat to stay healthy!2. Follow safe water protocols.3. Protect yourself from blood-borne disease.4. Follow basic immunization schedules.5. Know how to diagnose & treat travelers diarrhea.6. Follow malaria protection protocols.7. Protect yourself from TB.4-10AMLT - Honduras2
- 3. Pathways to InfectionWaterFoodSkinMucous Membranes4-104-10AMLT - Honduras3
- 4. 4Universal Precautions whats wrong here?AMLT - Honduras4-10
- 5. Universal PrecautionsWhats right in this picture?54-10AMLT - Honduras
- 6. Its been said,Travel broadens the mind as it loosens the bowels!64-10AMLT - Honduras
- 7. MTW Medical Team Goal:4-10 0% incidence of diarrhea and>90% of our medical teams have achieved that goal!AMLT - Honduras7
- 8. THINK Before You Eat!!!Everything that looks good may not be safe.That which looks unpalatable may be safe.4-10AMLT - Honduras8
- 10. Boil it, Cook it,Peel it, orForget it!Giardia trophozoitesNo, No104-10AMLT - Honduras
- 11. Only 2% of travelers are compliant!53% use ice in drinks;71% consume uncooked vegetables;40-60% get diarrhea!114-10AMLT - Honduras
- 12. An Unwanted Part of the Missionary Experience Julie: 9 mo diarrhea 4-5 days per month 10% weight loss Laurie: 1 year Giardia 2 week hospitalization4-10 12AMLT - Honduras
- 13. 4-10AMLT - HondurasHepatitis Polio Typhoid fever Protozoa Bacteria Viral enteritisWhat does Cipro cover?13
- 14. Your body is not your own; you were bought with a price.1 Cor. 6:20144-10AMLT - Honduras
- 15. Sacrificial gifts from donors lead to loss ofa caregivers time
- 18. a teams productivity or even
- 19. a potential cancellation of trip. 4-1015AMLT - Honduras
- 20. Wash your hands before you eat!Water from any spigot, tube or pipe is considered contaminated!DONT wash your dirty hands in contaminated water and with contaminated soap; dont use a contaminated towel for drying!164-10AMLT - Honduras
- 21. Water HygieneWater from spigot is considered contaminatedyou dont know the source!4-10AMLT - Honduras
- 22. Safe Alternatives for Hand WashingWash in disinfected clean water.Use antibacterial soap.Air dry or use your own camp towel.Use jellied alcohol.Much better184-10AMLT - Honduras
- 23. Are We Ready to Eat?Eat with clean hands! Dont use dirty utensils, dishes or cups!Whats dirty?Whats clean?194-10AMLT - Honduras
- 24. The Tupperware Alternative A sealed container with your own utensils inside;A 3-step wash using disinfectant.4-10AMLT - Honduras20
- 25. Whats For Supper?Ascaris GiardiaAmoebas TaeniaHepatitis214-10AMLT - Honduras
- 26. ALWAYS Unsafe NEVER eat!Salads (lettuce)Custards Potato salad Mayonnaise224-10AMLT - Honduras
- 28. More Unsafe FoodsMilk productsbutterice cream unpasteurized cheese Raw or undercooked meat & fish244-10AMLT - Honduras
- 29. Safe FoodsMUST be well-cooked cooked to 158尊 & hot at serving timeMUST be reheated to 158尊 if previously cooked Jellies & breads (covered - no flies!)AMLT - Honduras254-10
- 32. Dry Things are SafeIf packaged or protected properly!284-10AMLT - Honduras
- 33. Staphylococcal Food Poisoning is from a heat-stable Toxin.MUST keep hot foods hot (> 140尊F) and cold foods cold (<40尊F). Heat Kills Germs!Yum Yum294-10AMLT - Honduras
- 34. Initial symptoms:Staph Toxin 1-8 hrsE Coli 0157 4 +days Giardiasis 1-2 wks Amoebiasis 2-4 wksHepatitis A 2-6 wks Ascariasis 4-16 wksTaeniasis 2 mo304-10AMLT - Honduras
- 35. Thursday, Day 44-10AMLT - Honduras31
- 37. What About Fruit?Is the outside of the fruit clean? Was the knife clean that cut the fruit? (2-knife method?) Were the hands clean that prepared the fruit?334-10AMLT - Honduras
- 38. Not all Fruit is Created Equal!Best = fruit with rind or skin that can be peeledEasyVery easyAMLT - Honduras
- 39. Difficult or impossible to clean DifficultAlmost impossible354-10AMLT - HondurasNot all Fruit is Created Equal!
- 40. Raw vegetables such as lettuce, spinach, tomatoes and onions were responsible for the illness or deaths of nearly 19,000 people nationwide over a 5-year period.364-10AMLT - Honduras
- 41. What is Safe to Drink?Hot beverages: boiled water, tea or coffeeSoda & carbonated beveragesCoconut water or milkPasteurized milk & juices374-10AMLT - Honduras
- 42. The Story on Bottled Water11 of 14 randomly-selected bottles representing 8 brands in Nepal were contaminated with Coliforms!Poop!384-10AMLT - Honduras
- 43. Outbreaks of diarrheal illness are common from safe bottled water.[Wisconsin, Lima, Mexico and Perus San Antonio]394-10AMLT - HondurasThe Story on Bottled Water
- 44. Is it safe or Has it been rebottled? refilled? Safety designation e.g., reverse osmosisBottle dirty? wet? Cap secure? new or replaced?Do you trust your life & your teams health with it ?!404-10AMLT - Honduras
- 45. Drinking-water on AirplanesA substantial number of aircraftgoing to / returning fromdeveloping countries servecontaminated drinking water.Travel with Sweet Water drops, Iodine or Chlorine Dioxide tabs, or a Steri-Pen.414-10AMLT - Honduras
- 47. its always in good taste & all over the world!434-10AMLT - Honduras
- 48. Cleaning Dishes a Triple Process444-10AMLT - Honduras
- 49. Other Water ChallengesBrushing teethShoweringSwimming poolOcean45AMLT - Honduras
- 50. High Risk BehaviorBad information or ignoranceNon-compliancyEating in dirty restaurantsWhoa!464-10AMLT - Honduras
- 51. Prevention Active vs Passive Dietary Restrictions474-10AMLT - Honduras
- 52. Prevention Active vs Passive484-10AMLT - Honduras
- 53. Active verses Passive RestrictionsPassive = everybody orders for themselves, then leader must tell them no! 494-10AMLT - Honduras
- 54. Active =Eat everything that is put in front of you504-10AMLT - Honduras
- 55. 皆看-看-看 what-R-U-gonna-eat?Spoon?Banana?Iced tea?Hot soup?Lettuce?Tomato?Silverware?Napkin?Hamburger?Bun?514-10AMLT - Honduras
- 56. What if you are served unsafe food?524-10AMLT - Honduras
- 57. What if you are served unsafe food?Try not to offend.Eat small portions. [risk of diarrhea linked to size of inoculum]Have a designated eater. [someone w/ indigenous bowel flora]534-10AMLT - Honduras
- 58. Taking 500mg Cipro after eating will NOT protect you from crypto, Hepatitis A, rotovirus, etc.544-10AMLT - Honduras
- 59. If you cant live without cut fruit, salad, ice or fruit juice for 2 weeks stay home!!!554-10AMLT - Honduras
- 60. Food at luxury hotels no safer than the food in standard hotels.Flies are important vectors of disease. Watch for flies in the restaurant & on food!4-10AMLT - Honduras56 Shangri-La Hotel in New Delhi
- 61. Food consumed on aircraft home was likely prepared in country of origin of the flight. If eating is unavoidable, limit intake [inoculum]!574-10AMLT - Honduras
- 62. Epilogue If you can sleep well & eat well, you can endure almost anything!584-10AMLT - Honduras
- 63. Lets Eat !!!Good, Safe Food in Jungle Kitchen59