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149 Cards in this Set

  • Front
  • Back
4 roles of veterinarians in public health
- Help control zoonoses
- Biomedical research
- Monitor and promote food safety
- Promote food security
Definition of food
Something that nourishes, sustains, or supplies nutrients that are used to maintain life and growth
Definition of safety
Freedom from disease and injury
Definition of food security
Availability of food and one's access to it
When is a household food-secure?
When its occupants do not live in hunger or fear of starvation
Problem with food safety
Foodborne diseases
Top three infections responsible for greatest numbers of deaths in the world
- Acute respiratory infections
- HIV/AIDS
- Diarrheal diseases (due to foodborne illness)
Extent of foodborne diseases in America
Affects 1 out of 4 every year
Number of cases of foodborne illness in the USA every year
9.4 million
Number of hospitalizations in the USA every year due to foodborne illness
55,961
Number of deaths in the USA attributable to foodborne illness
1,351
Direct costs of foodborne diseases in the USA
$23 bil
Indirect costs of foodborne diseases in the USA
$23 - 46 bil
Three parties of people at greatest risk for foodborne disease
- Elderly
- Children
- Immunocompromised
What organization is responsible for food surveillance?
CDC
Two branches of CDC involved in food surveillance
- FoodNet
- PulseNet
What two organizations survey domestic and imported foods?
- FDA
- CFSAN
What two organizations survey meat, poultry, and egg products?
- USDA
- FSIS
What organization surveys eggs in the shell?
FDA
What two organizations survey fish?
- DOC
- NMFS (National Marine Fisheries Service)
When was FoodNet established?
1996
10 locations of FoodNet in the USA
- CA
- CO
- CT
- GA
- MD
- MN
- NY
- OR
- TN
- NM
What is the 'burden of illness pyramid'? (4)
Top:
- Reported
- Seen by GP or hospital doctor but not reported
- Ill but no medical attention sought
- Mild or asymptomatic
Bottom
Four components of FoodNet
- Epidemiology
- Laboratory survey
- Physician survey
- Population survey
Bout how many foodborne pathogens are there?
250
Most common cause of foodborne illness
Bacteria
What classifies an outbreak of a foodborne illness?
Two or more cases of a similar illness resulting from ingestion of a common food
What was the top four food-borne pathogens, in order?
- Salmonella
- Campylobacter
- Shigella
- E. coli O157:H7
Which top food-borne illness bacteria met the 2010 healthy people standard?
STEC O157 with a 41% decrease from 1996
Which pathogen had a significant increase in food-borne illness from 1996 to 2009?
Vibrio (85% increase)
What two symptoms does FoodNet look for?
- Hemolytic Uremic Syndrome
- STEC infections
Method of action for PulseNet
Identify cause through molecular fingerprinting
- DNA 'fingerprinting'
Two information sources for passive surveillance
- Hospital discharges
- Outpatient treatment facilities
What is PulseNet?
Early warning system for outbreaks of foodborne diseases
Four specific pathogens PulseNet monitors for
- E. coli
- Salmonella
- Listeria
- Shigella
What are the DNA fingerprint patterns sent to? (2)
- CDC
- Public health laboratories in the US
What is the average time from a patient becoming ill to case confirmation in an outbreak?
15 days
How long does Salmonella outbreaks take to report?
2-3 weeks
- Can take up to 6 though
5 characteristics of bacteria
- Gram stain
- Spores
- Biofilms
- Exotoxins
- Endotoxins
6 factors of bacterial growth
- Nutrients
- Acid
- Time
- Temperature
- Oxygen
- Moisture
Nutrients utilized by bacteria (2)
- COH
- CNH
pH range of bacteria environment
4.6 - 7.0
Time for bacterial growth
3 - 4 hours
Temperature range for bacterial growth
40 - 140 *F
Method of bacterial reproduction
Binary fission
Four phases, in order, of bacterial growth
- Lag phase
- Log phase
- Stationary phase
- Death phase
Definition of Water Activity
Measure of water availability in the food
What helps set up osmotic conditions for microbes?
Some microbes oligosaccharides in cell membrane that help to regulate similarity of bacteria cell wall
What water activity do most microbes require for growth?
Aw = 0.99
What minimum water activity can molds grow at?
Aw = 0.80
What water activity activity do staphylococcus grow at?
~0.85
What water activity activity do halophilic bacteria grow at?

What falls in this range?
0.70

Dried foods
Temperature for best growth of thermophiles
> 45 C
Temperature for best growth of mesophiles
20 - 45 C
Temperature for best growth of Psychrophiles
< 20 C (refrigerator temperatures)
- Cold-temperature tolerant
Temperature for best growth of Psychrotrophic microbes
< 20 C
- Grows at cold temperatures
Two major problems of food handling
- Contamination
- Temperature abuse
Major contamination methods (4)
- Cross contamination on cutting boards ***
- Multiple handling
- Food itself (meat)
- Humans (feces)
Major temperature abuse methods (3)
- Not below 40 F or above 145 F ***
- Poor refrigeration
- Inadequate cooking
What are three factors responsible for bacterial foodborne diseases?
- Food handling
- Changes in foods consumed
- Changing disease potentials
4 consumer attitudes responsible for bacterial foodborne diseases
- More convenience ***
- Greater variety
- More 'natural' foods
- Lower costs
3 product trends responsible for bacterial foodborne diseases
Decreased use of:
- Artificial ingredients
- Preservatives
- Cooking time
8 processing trends responsible for bacterial foodborne diseases
- Greater transportation and distribution distances **
- Use of cheaper ingredients
- More processing and mixing
- Greater refrigeration times
- Longer shelf-life
- More vacuum packaging
- Increased use of microwaving
- Faster slaughter rates or chain speeds
Four foods most likely to change in bacterial foodborne diseases
- Poultry
- Red meats
- Seafood
- Eggs
4 causes of increased disease potentials with bacterial foodborne diseases
- Consumer (hygeine, sanitation, handling, preparation, cooking)
- Farm or feedlot (contaminated feed and environment)
- Transportation (grouping, mixing, and animal stressors)
- Distribution
Two causes of decreased disease potentials with bacterial foodborne diseases
- Slaughter (HACCP)
- Processing (HACCP, Safe Food Handling Labels)
Two preventions of bacterial foodborne diseases
- Sanitation
- Avoid cross-contamination
Sterilization
Kills 100% of all living organisms
Disinfection
Kills 100% of vegetative microbes
Cleaning
Removal of microbes from the surface
Sanitization
Reduces number of micro-organisms to a safe level
Adequate temperature for meats
170 F
What temperature should refrigeration be at?
40 F
Minimum cooking temperature for chicken
170 F
Minimum cooking temperature for Pork/hamburger
160 F
Minimum cooking temperature
140 F
Danger zone
Food held in the danger zone temperature range may cause illness
Danger zone range
40 - 140 F
Most dangerous temperature range
85 - 115 F
3 things the Food Safety and Inspection Service (FSIS) regulates
- Meat
- Poultry
- Processed egg industries
How many slaughter plants are there nationwide?
6,500
How many Veterinary Medical Officers are employed by the FSIS?
1,000
How many Inspectors are employed by the FSIS?
7,400
How many cattle are slaughtered yearly according to FSIS?
35 million
- 800,000 calves
Percentage of cadavers condemned yearly
680,000 (0.49%)
When was the first act of congress made to cover export of U.S. meat?
1891
What provided for mandatory postmortem inspection?
Meat Inspection Act of 1906
What does the Wholesome Meat Act of 1967 provide for? (2)
- State programs must be 'equal to' federal
- Provided for mandatory antemortem inspection
What is the FSIS mission statement?
Ensuring that the nation's commercial supply of meat, poultry, and egg products is safe, wholesome, and correctly labeled and packaged
What is a voluntary service?
Meat grading
What is a mandatory service?
Meat inspection
What is custom slaughter?
Meats processed for personal use
6 species not subject to the FMIA (Federal Meat Inspection Act)
- Bison
- Deer
- Elk
- Reindeer
- Water buffalo
- Catalo

Basically: wild animals
What are nonameable species slaughter surveyed by?
FDA
Purpose of antemortem inspection
To assure that only animals capable of producing a wholesome, safe product are passed for slaughter
5 aspects of antemortem inspection
- Before slaughter
- On premises
- Day of slaughter
- In motion
- At rest
Who performs AM inspection? (2)
- Food inspectors (can't make dispositions, just separate out)
- Veterinary Medical Officers (make dispositions)
Three AM dispositions
- Pass for regular slaughter
- Pass for slaughter as US suspect
- US condemned
6 AM conditions that cause US. suspect classification
- Ocular squamous cell carcinoma
- Acti (actinobacillus)
- Lameness
- Swellings
- Skin conditions
- Abnormal posture/dyspnea
5 AM conditions that cause US condemned classification
- Downers
- CNS conditions
- Dead/moribund
- Cachexia (poor BCS)
- Pyrexia
Temperature required for pyrexia for cattle, sheep, and horses
> 105 F
Temperature required for pyrexia for swine
> 106 F
5 reportable diseases in slaughter
- Vesicular diseases
- CNS diseases
- Brucellosis
- Screwworms
- Babesiosis
Who performs PM inspections? (2)
- Food inspectors (separate normal from abnormal)
- Veterinarians (provide dispositions)
Beef inspection procedures for the head (4)
- Examine surfaces
- Slice and observe the LN
- Slice and observe the masseters
- Palpate the tongue
7 beef inspection procedures for viscera
- Observation
- Incise lung nodes
- Incise heart
- Incise bile duct
- Observe/palpate liver
- Observe/palpate r-r junction
- Observe intestines and spleen
Three beef inspection procedures for carcass
- Observe body cavities
- Observe carcass outer surfaces
- Palpate kidneys/diaphragm
6 postmortem disposition options
- U.S. inspected and passed
- U.S. inspected and condemned
- Passed for refrigeration
- Passed for cooking
- Passed for heating
- Passed for use in cooked comminuted product
11 conditions observed at PM that condemn the carcass
- Septicemia
- Toxemia
- Acute erysipelas
- TB
- Generalized conditions
- Emaciation
- Icterus
- Tumors if metastatic
- Anaplasmosis
- Vena cava syndrome
- Injection site lesions that are violative
7 Conditions observed PM that receive passed classification
- Johne's Disease (except intestines)
- Non-metastatic tumors
- Localized pathology (after trimming)
- Chronic erysipelas
- Trimmable injuries
- Melanosis
- Neurofibroma
What classification does Cysticercosis receive upon PM observation?
US passed for freezing
Who performs on-site residue testing?
In-plant veterinarians
- Results in 24 hours
Three products that are re-inspected
- Processed products
- Imported products
- Export products
What are SRMs?
Specific Risk Materials
- Have higher risk for BSE and are considered inedible and must be removed from the carcasses and parts
9 SRMs for cattle
- Tonsils
- Distal ileum
- Skull
- Brain
- SC
- Vertebral column
- Eyes
- Dorsal root ganglia
- Trigeminal ganglia
3 lab samples run on slaughtered animals
- Microbiological sampling
- Pathology
- Chemistry
3 bacteria tested for in microbiological sampling
- E. coli O157:H7
- L. monocytogenes
- Salmonella
2 ways to control condemned products
- ID
- Destruction
What bill created the following two provisions:
- Animals must be handled humanely
- Animals must be rendered insensible to pain prior to slaughter
Humane Slaughter of 1978
3 approved methods of stunning
- Electrical
- Mechanical (Gunshot, captive bolt)
- Chemical (CO2)
What created HACCP?
Pathogen Reduction Rule (1990s)
- Focused on food safety of products
3 parts of the FSIS verification of food safety system
- HACCP
- SSOP
- Generic E. coli and other testing programs
Who samples for salmonella?
FSIS
Who samples for generic E. coli?
Plant
What is Salmonella and generic E. coli sampling part of?
PR/HACCP
4 pathogens tested for in finished products
- E. coli O157:H7
- L. monocytogenes
- Salmonella
- Campylobacter
When is a recall instituted?
If adulterated products have entered commerce
Who requests recalls?
FSIS
What is intensity of inspection based upon?
Risk to public health
Two aspects of the Public Health Information System (PHIS)
- Inherent product risk
- Plant controls
How many pathogens were included in the article of Emerging Infectious Diseases?
31
Top four pathogens in all cases of FBI
- Norovirus (58%)
- Salmonella (11%)
- C. perfringens
- Campylobacter
Top four pathogens in hospitalized cases of FBI
- Salmonella (35%)
- Norovirus (26%)
- Campylobacter
- T. gondii
Top four pathogens involved in FBI deaths
- Salmonella (28%)
- T. gondii (24%)
- L. monocytogenes (19%)
- Norovirus
Percentage of US population susceptible to FBI
25%
What does YODIM stand for?
- Young
- Old
- Diseased
- Immunodeficient
- Malnourished
What pathogen is associated with the Young category?
E. coli O157:H7
What pathogen is associated with the Old category?
Hepatitis A virus
What pathogen is associated with the Diseased category?
Vibrio vulnificus
What pathogen is associated with the immunodeficient category?
Listeriosis
What pathogen is associated with the Malnourished category?
Salmonellosis
4 natural barriers to infection
- Parietal cells
- Lymphoid cells
- M cells
- Intestinal microvilli
4 bacterial diseases to be concerned about with FBIs
- Salmonella
- Listeria
- Campylobacter
- E. coli HUS
3 classifications of foodborne disease causes
- Toxicoinfection
- Invasive infection
- Bacterial toxins (pre-formed)
Longest two incubation periods of foodborne diseases
- Hepatitis A
- L. monocytogenes
Shortest 4 incubation periods for foodborne diseases
- S. aureus
- V. paraheamolyticus
- C. perfringens
- Salmonella
What pathogen has the lowest infectious dose?
Shigella
What pathogen has the highest infectious dose?
ETEC
What two categories is E. coli O:157 in?
- Emerging zoonoses
- Food-borne diseases