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Employee Health and Personal Hygiene • Studies show that many cases of foodborne illnesses can be linked directly to the lack of attention to personal hygiene, cleanliness, and food handling procedures. • The Center for Communicable Disease issued a list of infectious and communicable diseases that are often transmitted through food prepared by infected food handlers. • (refer to: http://www.cdc.gov/search.do?q =list+of+infectious+and+commu nicable+diseases+that+are+tra nsmitted+through+food&spell=1 &ie=utf8). • Providing safe food begins during the hiring process. • This strategy is accomplished through the health screening and careful training of food service employees after they have been hired. • The hiring process should be followed by an orientation and training on the standards of proper hygiene established for food service operations. •Personal hygiene is simply the application of principles for maintaining health and personal cleanliness. • Policies should be designed, implemented, and monitored to cover employees’ illnesses, proper attire, and personal hygiene habits. • The specific methods aimed to fulfill the intent of these policies are frequently referred to as infection control procedures. Healthy Food Handler • A clean, hygienic environment starts with a healthy food handler. • For a food handler to be considered healthy, he/she must be free from diseases that may contaminate food, such as intestinal disorders (typhoid fever and hepatitis), respiratory tract diseases (tuberculosis, sore throat, and colds), and skin diseases or disorders (boils, lesions, and skin infections). Proper Attire: • • • • • Hair Restraint Work Clothes Footwear Facial Masks Gloves Hair Restraint • The presence of hair in food indicates unhygienic food preparation. • Food handlers must wear a hair restraint at all times to prevent hair from falling into the food. • Common hair restraints include nets, bonnets and caps. • Wearing a hair restraint also eliminates the contact of the hands with the head, thereby preventing contamination. • A hair restraint must be worn before hand washing and working. • A hair restraint must be properly worn and should not let a single strand of hair show. Work Clothes • Work clothes that include a kitchen uniform and an apron must be worn inside the kitchen. • Street clothes should never be worn to work as they may be sources of contamination. • Aprons help reduce the transfer of microbes to exposed food. • Work clothes should always be clean. Clean uniforms are more appealing to the customers. • As much as possible, aprons should be of light color to easily reveal dirt. • Never use aprons as a hand towel. • Change the apron when soiled. • A food worker must wash his/her hands after touching his/her apron. • Remove the apron before leaving the food preparation area. Footwear • Because footwear can serve as a source of contamination, it is necessary to use footwear exclusively for kitchen use. • Footwear worn outside should not be worn in the food preparation area to prevent the possibility of contamination. • Closed shoes should be worn at all times to prevent slipping or falling. Facial Masks • Facial masks prevent airborne microorganisms from the nose and mouth from getting into the food when talking, coughing, or sneezing. • These masks will also prevent direct contact of the hands with the nose and mouth, both of which are sources of contamination. Gloves • Gloves act as barriers between hands and food. However, must not be made substitutes for proper hand washing. • Proper hand washing prior to wearing of gloves should be observed. • Gloves must be sanitized and changed every day or whenever necessary • Gloves must be devoid of any tear or holes as these are possible sources of contamination. • Never reuse or wash disposable gloves; always throw them away after use. Personal Habits of Food Workers: • Taking Daily Baths • Trimming of Nails • Shaving and Haircuts for Males • Covering of Wounds • Wearing of Jewelry • Wearing of Nail Polish or false/artificial fingernails • • • • Smoking and Eating Hand Washing Tasting of Food Storing Personal Belongings • Other Personal Habits Taking Daily Baths Taking a bath daily is the most basic requirement among food handlers as it ensures their cleanliness. Trimming of Nails Trimmed nails are a requisite for food preparation. Untrimmed nails are not only unsightly but also potential sources of contamination. Shaving and Haircuts for Males As facial hair is a source of contamination, male food handlers are required to shave as necessary. Short, neat haircuts must be maintained as well. Covering of Wounds Wounds or cuts must be properly covered with a moisture-proof bandage which must be frequently changed to prevent the risk of contamination. Wearing of Jewelry Wearing of jewelry must be prohibited at all times. Aside from being a physical hazard, jewelry may also become biological hazards as they have crevices that can harbor microbial growth. Wearing of Nail Polish or False / Artificial Fingernails Because nail can get into food, wearing of nail polish or false / artificial fingernails should not be allowed among food handlers. Smoking and Eating A high standard of cleanliness must be practiced by food handlers at all times. Any unhygienic practice that could result in cross-contamination of food, such as smoking and eating inside the kitchen, should not be allowed. Eating and smoking areas must be set up outside the kitchen premises. Hand Washing The single most important practice in preventing the spread of food borne illness is proper and frequent hand washing. Since person-to-person contamination can play a significant role in the spread of some enteric pathogens, hand hygiene is a critical element in any outbreak prevention and control strategy. Tasting of Food A small amount of the food to be sampled must be transferred into a separate bowl. The dish must be tasted with a clean spoon that must be immediately washed after use. Never taste the food with the fingers. Storing Personal Belonging Personal belongings like bags and clothes should be stored in lockers or cabinets away from food preparation areas. Other Personal Habits Blowing air into plastic bags or using teeth for opening packages are prohibited in food production. Blowing into food containers like plastic bags brings airborne microorganisms in contact with the contents of the container. Opening packages using one’s teeth are potential sources of contamination as well. Other personal hygiene habits to be addressed by policy include: • Do not lick the fingers, or touch the nose, mouth, or hair while in the production area • Never spit in the food handling area. • Never apply makeup or spritz perfume in food-preparation areas. • Do not sit or lean on work tables or equipment. • Do not allow unauthorized personnel in the production area. What types of disease can good hand washing prevent? • Diseases can spread through fecal-oral transmission. • Infection which may be transmitted through this route include salmonellosis, shigellosis, hepatitis A, giardiasis, enterovirus, amoebiasis, and campylobacteriosis. Salmonellosis • Most people infected with Salmonella develop diarrhea, fever, vomiting, and abdominal cramps 12 to 72 hours after infection. In most cases, the illness lasts four to seven days, and most people recover without treatment. • In some cases, though, the diarrhea may be so severe, the patient becomes dangerously dehydrated and must be hospitalized. Shigellosis • Shigella is a genus of bacteria that are a major cause of diarrhea and dysentery – diarrhea with blood and mucus in the stools – throughout the world. • In the body, they can invade and destroy the cells lining the large intestine, causing mucosal ulceration and bloody diarrhea. • Apart from diarrhea, symptoms of Shigella infection include fever, abdominal cramps, and rectal pain. Hepatitis A • Hepatitis A is a liver disease caused by the hepatitis A virus. • The virus is primarily spread when an uninfected (and unvaccinated) person ingests food or water that is contaminated with the feces of an infected person. The disease is closely associated with a lack of safe water, inadequate sanitation and poor personal hygiene. Giardiasis • Giardiasis is an infection of the small bowel by a singlecelled organism called Giardia lamblia. • People become infected with the Giardia parasite after swallowing Giardia cysts often found in water contaminated by raw sewage or animal waste. • Giardia can cause diarrhea, stomach cramps, gas, and nausea. Enterovirus • The human enteroviruses are ubiquitous viruses that are transmitted from person to person via direct contact with virus shed from the gastrointestinal or upper respiratory tract. • Diseases caused by echoviral infections range from the common cold and fever to aseptic meningitis and acute hemorrhagic conjunctivitis (AHC). Amoebiasis • Symptoms can range from mild diarrhea to dysentery with blood and mucus in the stool. • If the parasite reaches the bloodstream it can spread through the body, most frequently ending up in the liver where it causes amoebic liver abscesses Campylobacteriosis • Campylobacteriosis is an infection of the gastrointestinal tract. Symptoms of the infection include diarrhoea (often including the presence of mucus and blood), abdominal pain, malaise, fever, nausea and vomiting. • Diseases also spread through indirect contact with respiratory secretions. • Microorganisms which may be transmitted through this route include influenza, streptococcus, respiratory syncytial virus (RSV), and the common cold. • These diseases may be spread indirectly by hands freshly soiled by respiratory discharges. • This can be avoided by washing the hands after coughing or sneezing and after shaking hands with an individual who has been coughing or sneezing. • Diseases may also be acquired when hands are contaminated with urine, saliva, or other moist body fluids. • Microorganisms which may be transmitted by these body substances include cytomegalovirus, staphylococcal organisms, and the Epstein-barr virus. Cytomegalovirus • Acute cytomegalovirus (CMV) infection is a condition caused by a member of the herpesvirus family. • CMV is a type of herpes viruses. The virus remains in your body for the rest of your life. If your immune system becomes weakened in the future, this virus may have the chance to reactivate, causing symptoms. Staphylococcal • Staphylococcal toxins are a common cause of food poisoning, as they can be produced in improperly-stored food. Epstein-barr virus • It is best known as the cause of infectious mononucleosis (glandular fever). It is also associated with particular forms of cancer, such as Hodgkin's lymphoma, Burkitt's lymphoma, nasopharyngeal carcinoma, and conditions associated with human immunodeficiency virus (HIV) • These germs may be transferred from person-to-person or indirectly by the contamination of food or inanimate objects such as toys. Steps in Proper Hand Washing • Wet the hands with warm, running water. • With soap, thoroughly wash the hands and lather up to the elbow. • Scrub thoroughly using a brush for the nails, then rinse. • Resoap and rub hands for at least 20 seconds. Pay special attention to the back of the hands, wrists, between the fingers, and under the fingernails. • Hands should be rinsed well under running water. • Hands should be dried with a single-use towel or hot air dryer. • Turn off the faucet using a paper towel to prevent contaminating it again. • Use a disinfectant if available. Wash hands after the following activities: • Coming on duty or entering the kitchen. • Touching bare body parts other than clean hands and the clean, exposed portions of arms. • Using the toilet • Coughing, sneezing, using a handkerchief or disposable tissue, smoking, eating or drinking. • • • • Handling soiled equipment or utensils. Handling money. Handling cleaning materials. Food preparation (this should be done as often as necessary to eradicate microorganisms and to prevent cross-contamination when changing tasks). • Switching from working with raw food to working with ready-to-eat food. • Changing into uniform. • Having a break. • Leaving the kitchen. Acknowledgment: Textbook: Food Safety and Sanitation By: Mary Jean C. Ang And Hannah A. Balanon C & E Publishing, inc., 2010 edition End of Presentation