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Salmonella: What You Need to Know Kenneth Onyewurunwa, (MPH Student) Walden

Salmonella: What You Need to Know Kenneth Onyewurunwa, (MPH Student) Walden University PH 6165-5 (Environmental Health) Instructor: Dr. Rebecca Heick June, 2009. Welcome!!. Food handlers Local government staff

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Salmonella: What You Need to Know Kenneth Onyewurunwa, (MPH Student) Walden

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  1. Salmonella: What You Need to Know Kenneth Onyewurunwa, (MPH Student) Walden University PH 6165-5 (Environmental Health) Instructor: Dr. Rebecca Heick June, 2009

  2. Welcome!! Food handlers Local government staff Health care providers General public

  3. Objectives Increase knowledge Burden of disease Public health Impact Cost of disease

  4. Expected Learning Outcomes for participants Public health issue/concern Health complications Prevalence Intervention

  5. What is Salmonella? Source Symptoms Nature of disease Food & Drug Administration (2009) Retrieved on June 15, 2009 from: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm069966.htm

  6. What foods are associated with Salmonella Raw meat Poultry Eggs Milk & dairy products Fish & shrimp Sauces & salad dressing

  7. Prevalence/IncidenceReported cases of Salmonellosis in the U.S. excluding typhoid fever for the years 1988 to 1995. The number of cases for each year varies between 40,000 and 50,000. From Summary of Notifiable Diseases, United States MMWR 44(53): 1996 (October 25).

  8. Public Health Impact Multi- state outbreaks Hospitalization Over burdened health system Death Centers for Disease Control & Prevention (2009) Retrieved on June 15, 2009 from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58e0129a1.htm

  9. Medical care costLost productivityFrenzen PD, Riggs LT, Buzby JC, Breuer T, Roberts T, Voetsch D, Reddy S and the FoodNet Working Group (1999) Salmonella Cost Estimate Updated Using FoodNet Data Retrieved June 15, 2009 from: http://www.ers.usda.gov/publications/foodreview/may1999/frmay99c.pdfTodd Neale (2009) Staff Writer, MedPage Today. Retrieved on June 15, 2009 from: http://www.medpagetoday.com/InfectiousDisease/PublicHealth/13269 Burden of Disease

  10. Intervention Clinical Public health Environmental stewardship Moeller, D. W. (2005). Environmental health (3rd Ed.). Boston: Harvard University Press

  11. Clinical Intervention What can a person do to prevent this disease? Avoid raw or undercooked eggs, poultry, or meat Cross-contamination of foods should be avoided Test Restaurant Workers with previous cases Use of intravenous fluids and antibiotics Wash your hands Report all cases Better Education Centers for Disease Control & Prevention (2009) Retrieved on June 15, 2009 http://www.cdc.gov/nczved/dfbmd/disease_listing/salmonellosis_gi.html#4

  12. Public Health & Environmental Stewardship Intervention From Farm to Table Eliminating middle men Eliminating the use of antimicrobials & hormone Food co-ops or similar Local system Source: 2007 Eastern Marker Corporation. http://www.detroiteasternmarket.com/page.php?p=1&s=18

  13. Barriers to Intervention Effects of globalization Antibiotic resistance

  14. Summary/Conclusion Some key learning points Public health issue/concern Health complications Prevalence Intervention

  15. Further Reading Materials: The CDC provides an informational brochure on preventing Salmonella enteritidis infection. Food Safety Facts for Consumers http://www.cdc.gov/ncidod/dbmd/diseaseinfo/salment_g.htm http://www.ncbi.nlm.nih.gov/Taxonomy/Browser/wwwtax.cgi?name=Salmonella A Loci index for genome Salmonella enteritidis is available from GenBank. Morbidity and Mortality Weekly Reports from CDC Bad Bug Book - Salmonella spp. Foodborne Pathogenic Microorganisms and Natural Toxins Handbook

  16. References Food & Drug Administration (2009) Retrieved on June 15, 2009 from: http://www.fda.gov/Food/FoodSafety/FoodborneIllness/FoodborneIllnessFoodbornePathogensNaturalToxins/BadBugBook/ucm069966.htm Centers for Disease Control & Prevention (2009) Retrieved on June 15, 2009 from: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm58e0129a1.htm Frenzen PD, Riggs LT, Buzby JC, Breuer T, Roberts T, Voetsch D, Reddy S and the FoodNet Working Group (1999) Salmonella Cost Estimate Updated Using FoodNet Data Retrieved June 15, 2009 from: http://www.ers.usda.gov/publications/foodreview/may1999/frmay99c.pdf Todd Neale (2009) Staff Writer, Med Page Today. Retrieved on June 15, 2009 from: http://www.medpagetoday.com/InfectiousDisease/PublicHealth/13269 World Health Organization (2009) Retrieved on June 15, 2009 from: http://www.who.int/mediacentre/factsheets/fs237/en/ Centers for Disease Control & Prevention (2009) Retrieved on June 15, 2009 http://www.cdc.gov/nczved/dfbmd/disease_listing/salmonellosis_gi.html#4

  17. Thank you. Questions?

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