BCIT Environmental Public Health Journal
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Determining the time required to disinfect a sponge contaminated with Escherichia coli, using a commercial microwave
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Background: Disinfection and sanitation are important in areas where food is involved. Thorough cleaning is a necessity to prevent growth of harmful pathogens that could affect human health. Sponges used for cleaning can serve as a vehicle for cross-contamination on food preparation surfaces. There are various methods that could be used to disinfect contaminated sponges. The usage of a microwave is one suggested method. Objective: The purpose of this study was to determine if the Scotch-BriteTM Brand, cellulose sponges contaminated with E.coli (105 cfu/ml) could be disinfected using a microwave set at three timings (30 seconds, 1 minute, and 2 minutes). Methods: The Hygiena MicroSnap was used to detect the presence (or absence) of E.coli in sponges after microwave heating. The relative light units (RLU) indicated in the monitor determined whether there were any remaining coliforms in the sample after microwaving. Results: Statistical analysis was conducted using Microsoft Excel and NCSS. After heating sponges for 30 seconds, 100% of the samples detected no E.coli. After heating for 1 minute, 70% of the samples had no E.coli present. After heating for 2 minutes, 100% of the samples detected no E.coli. The p-value of 0.03567 concludes that the results were statistically significant at the 5% significance level. Discussion: The results of this study indicate that sponges contaminated with E.coli can be disinfected using microwave heating. EHOs, food establishment operators, and the general public can use this knowledge to re-use their old sponges and avoid further cross-contamination. Conclusions: The results indicate that microwave time is associated with the presence or absence of E.coli in a sponge. However, E.coli was present in 3 samples microwaved at 1 minute. This suggests further studies are required to confirm the findings of this study. In addition, further studies are required to determine what specific time is sufficient to completely eliminate the E.coli in a contaminated sponge.
 
Fitness lunch bag: the ability to keep foods cold and out of the danger zone
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Background: Improper storage of food is one of the top ten food handling practices that cause a foodborne illness. This study assessed whether the Fitness Lunch Bag was able to keep precooked chicken breast cold at below 4°C (40°F) for 8 hours and to determine if the layers of the bag kept food consistent at the same temperature. Methods: Three SmartButtons, continuous temperature data logging devices, were inserted into three precooked and chilled chicken breasts. The three chicken breasts were placed within three trays inside the Fitness Lunch Bag that remained at room temperature for 8 hours. The internal temperatures were logged at one hour intervals. A total of 30 samples were collected. NCSS was used for statistical analysis of the data by regression/correlation and ANOVA. Results: The Fitness Lunch Bag was unable to hold cold food safely, at 4°C (40°F) and below for 8 hours. All three layers were found to exceed 4°C (40°F) within the first hour (p-value of 0.000 by 1 sample t-test). In addition, all three layers of the Fitness Lunch Bag were found to not be equivalent in retaining a consistent temperature throughout the bag (p-value of 0.000000 < 0.05 by regression analysis at the 8 hour mark). Layer 2 was the best at retaining the lowest temperature for the chicken breasts, followed by layer 1. Moreover, layer 3 was found to display the warmest temperatures out of the three layers. Conclusion: The results of the study show that the Fitness Lunch Bag does not have the ability to keep cold foods out of the danger zone, 4-60°C (40 – 140°F), for 8 hours. In addition, the bag was not capable of keeping cold foods safe at the 1 hour mark. Caution should be used with any type of lunch bag, insulated and/or frozen gel packed, especially with the potentially hazardous foods.
 
The efficacy of ATP removal on gym contact surfaces with disinfectant wipes
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Background: Gym equipment surfaces are known to harbor a range of contaminants due to the wide range of community use of the equipment. Certain gym equipment undergoes daily sanitation, however many other equipment surfaces do not. This study measures the levels of contamination on certain gym equipment surfaces at an educational institute gym facility and determines the contamination levels after disinfectant wipes are applied. Methods: The method to obtain the data was determined by the use of the Hygiena Systemsure II ATP analyzer in conjunction with Hygiena Ultrasnap ATP surface swabs. Gym equipment (barbells, dumbbells, machine handles, cable attachments) and other surfaces (benches, floor mats) were swabbed subsequently after a random gym patron had used the equipment to capture an accurate representation of the cleanliness of the surfaces. Disinfectant wipes were then applied to the same area before being swabbed again to determine contamination levels after disinfection. Results: The results demonstrated a statistically significant difference in the reduction of ATP levels with the use of disinfectant wipes with a p-value of 0.00001 at α=0.05. Alpha error was highly unlikely with a p-value being that low. Power was 99.9%, therefore there is a strong likelihood that we are correctly rejecting the null hypothesis. Conclusion: The study can conclude that disinfectant wipes do make a significant difference in surface cleanliness levels. Equipment that does not undergo routine cleaning such as the equipment used by the hands carry a much higher contamination rate than the body contact surfaces. Gym patrons should disinfect all body contact surfaces prior to use to reduce the risk of getting an infectious disease.
 
Non-celiac consumer knowledge regarding gluten-free diets
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BACKGROUND: With the rising trend in gluten-free diets, it is imperative that there is high consumer product literacy so that the public makes informed decisions in regards to their diet and health. Knowledge taken from reputable sources and recognizing unsubstantiated health claims regarding gluten-free diets is critical for a non-celiac consumer. METHODS: A survey was used to investigate why non-celiac consumers elect to follow gluten-free diets and why they believe that the elimination of gluten from their diet is healthy. This project also tested consumer knowledge regarding gluten. RESULTS: During a 2 month period, total of 376 individuals participated in the survey. Only 322 participants fell under the inclusion criteria of this study. Women who elected to participate in gluten-free diets (but did not have Celiac’s Disease themselves) had higher overall test scores and men in the general population had lower overall test scores (p = 0.000017). CONCLUSIONS: Based on overall test scores and percentages of correct responses for specific questions, there seems to be deficiencies in both the average consumer and non-celiac-gluten-avoider-consumer knowledge regarding gluten, gluten-free products and diets.
 
Safety and pH measurements of sushi rice in Japanese restaurants in Burnaby BC, Canada
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Background and Purpose: The increasing popularity of sushi in Metro Vancouver raises public health concerns over the consumption of sushi rice being held out of temperature control. Although sushi rice is acidified to control growth of pathogenic microorganisms, there is no existing documented system to monitor the pH of sushi rice, and pH testing is rarely performed by Environmental Health Officers(EHOs)/Public Health Inspectors(PHIs) during routine inspections. The purpose of the study was to measure the pH of sushi rice samples collected from different sushi restaurants in Burnaby, BC and determine whether the pH meets the accepted standard of 4.6 or below. Methods: 30 sushi rice samples were collected from 30 randomly selected sushi restaurants in Burnaby, British Columbia. The samples were kept at room temperature and then tested for pH using the Waterproof Palm pH Meter. Results: The mean pH of the samples was 4.09; the median was 4.115; the standard deviation was 0.198; and the range was 0.82 with the minimum value of 3.71 and the maximum value of 4.53. 100% (30 out of 30 samples) had the pH less than 4.6. The statistical z-test resulted in a p-value of 0.00. Discussion: All of the sushi rice samples had pH values less than 4.6. Therefore, the samples were adequately acidified to inhibit the growth of pathogens. The low pH values indicate that the samples are not considered potentially hazardous food, thus safe to be stored at room temperature for extended periods of time. However, due to the nature of Bacillus cereus that can grow at a pH 4.3 or higher, the target pH of sushi rice is 4.3 or lower. Conclusion: Inadequately acidified sushi rice may pose a health risk if it is stored out of temperature control. The study shows that sushi rice being consumed by the public in Burnaby, BC is generally safe and has a low public health concern. Therefore, EHOs/PHIs can feel assured that sushi rice stored at room temperature is unlikely to cause potential foodborne illness.
 
Safety of Chinese roast pork as determined by the water activity of the skin and cavity
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Objectives: The increase in unfamiliar ethnic foods and the lack of guidelines available to evaluate their safety makes it increasingly challenging for Public Health Inspectors (PHIs) to ensure food safety. Chinese barbecued meats, for example, frequently undergo improper temperature control, causing health concerns for public health authorities. However, due to the limited studies conducted, the health implications associated with temperature abuse of this ethnic food is currently unclear. Hence, the following study assessed the safety of Chinese barbecued meats, specifically roast pork, at ambient temperature (21°C). Methods: The temperature and water activity (aw) of 30 samples of roast pork skin and cavity were measured. A one sample t-test was conducted to assess whether or not the aw of roast pork surfaces are below 0.85, a standard for safe display of food at room temperature. In addition, the paired-sample t-test was conducted to determine whether a difference exists between the aw of roast pork skin and cavity. Results: The mean temperature that roast pork was displayed at in retailers was 30.7°C and the mean skin and cavity aw were 0.70±0.013 and 0.81±0.009, respectively. The aw of the roast pork skin and cavity were found to be statistically lower than the standard, 0.85 (p-value < 0.00001 and at 0.001338, respectively). In addition, statistically significant difference was found between the mean aw of the roast pork skin and cavity (p-value < 0.00001). Conclusion: These results indicate that the whole roast pork can be safely displayed at ambient temperature provided that it adheres to specific food safety and sanitation criteria. These results can aid health authorities with guidelines development to assist PHIs with inspections and educate operators to ensure food safety.
 
A study of indoor air quality investigations in B.C health authorities
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Canadians spend 90 percent of their lifetime indoors and are currently aware that poor indoor air quality (IAQ) can negatively impact human health. If there are any IAQ problems, the Health Authorities will conduct IAQ investigations to respond to the complainants or resolve the conflicts. An online survey to Environmental Health Officers (EHOs) and specialists was used to understand the frequencies that B.C. Health Authorities conduct IAQ investigations, the locations Health Authorities encountered most IAQ queries, the different types of pollutants that IAQ instruments are used for and the preference for instruments chosen. Five common indoor air pollutants, such as mould, volatile organic compounds (VOCs), radon, particulate matters (PMs), CO and CO2, were chosen and the Chi-Square test was used to analyze the data in this study. This study showed that most EHOs had never conducted IAQ investigations since they had worked in the B. C Health Authorities. Mould problems between landlord and tenant were EHOs mostly encountered. The study found that EHOs referred to other agencies or consultants when they received complaints. The data showed that the method of managing IAQ problems was associated with the Health Authorities because few EHOs from Vancouver Coastal Health indicated they had used equipment to conduct IAQ investigations. The mostly encountered location and frequency of conducting radon investigations were significantly associated with the Health Authorities due to an on-going project in Northern Authority. Most EHOs and specialists had shown that they educated public regarding to the information of IAQ instead of monitoring the IAQ pollutants. The results of this study indicate that EHOs did not get involved in IAQ investigations often and also showed that mould problems were the mostly encountered IAQ problems between the Health Authorities. The most important role of EHOs and specialists in this area is to educate public to solve or prevent IAQ problems.
 
The efficacy of alcohol-based hand sanitizers used in a series, modifying the ASTM E2755 method with a shorter hand sanitizer application time
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Background: Alcohol-based hand sanitizers are becoming increasingly common in healthcare settings in an effort to control communicable bacteria, viruses and fungi of health significance. Much research has been done on the effectiveness of alcohol-based hand sanitizers but few studies look at the effectiveness when combined with more typical usage, such as varying application times and amounts. Methods: We looked at the efficacy of the microbial killing power of an alcohol-based hand sanitizer when used in a series of 5 applications. ASTM E2755 was used with the modification of a shorter application time (8 seconds from the recommended 30 seconds) of the sanitizer to better reflect actual healthcare worker usage. Results: We found an increase in the amount of indicator bacteria on the gloved hands of the subjects after repeated applications. However the increase was not significant enough in that a 2-log reduction of indicator bacteria was still achieved. Using a One Sample T-Test we found a very low probability value (<0.00000), indicating that the results were statistically significant. Conclusions: There is an increase of bacteria on gloved hands after repeated use of alcohol-based hand sanitizers. The results show a decrease in their effectiveness, most likely due to a build up of various non-alcohol components in hand sanitizers. However even with the 8 second application time there was still a greater than two log reduction even after 5 serial contaminations and applications. This cautiously shows that there is significantly less danger posed by more common shorter application times than originally thought. These findings have a potential impact on hand hygiene education as other factors, such as frequency or sanitizer amounts can be safely emphasized over application times.
 
Evaluating the health and safety knowledge of body waxing providers in British Columbia
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BACKGROUND: Since the deregulation of the BC Cosmetology Act in 2003, esthetics has become a voluntary-certified trade. Considering the rising popularity of more intimate body waxing services and the potential for infections and injuries associated with these services, there is concern that BC waxing service providers have varying levels of health and safety knowledge. METHODS: The health and safety knowledge of BC estheticians was analyzed by conducting a knowledge assessment survey of body waxing providers from random clusters of 50 beauty salons in Vancouver and Surrey, BC. To evaluate which parameters affected the estheticians’ knowledge scores, ANOVA, t-tests and regression analyses were used. Chi square analyses were used to determine factors associated with the level of esthetics training. RESULTS: Health and safety knowledge scores widely varied (mean = 18.8 ± 5.5 out of 36 points). Estheticians’ qualifications were not significantly associated with whether the esthetician started practicing before or after the BC Cosmetology Act deregulation. 84% held a traditional esthetics certification and 30% had BeautySafe certification; however they did not necessarily score significantly higher on the health and safety knowledge assessment. Estheticians scored higher in Vancouver than in Surrey (p=0.046). The cost of waxing (p=0.0011) and estheticians’ perceptions (p=0.020) of their own knowledge level are also positively related to their knowledge score. Age, alma mater, years of experience, and ethnicity did not show any significant relationship with an esthetician’s qualifications or knowledge scores. CONCLUSIONS: Cost of wax treatment, esthetician’s perception of health and safety knowledge and location were indicators of an esthetician’s health and safety knowledge competency. Consumers should ask the esthetician to rate their own knowledge competency, opt for the more expensive treatment and if they have the option, choose a Vancouver salon over a Surrey salon. The wide range of knowledge scores indicate a gap in health and safety standards and thus, an opportunity for health authorities and the esthetic industry to collaborate to establish such standards.
 
Testing for presence of radioactivity in BC Pacific Ocean’s seafood supply
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Abstract: Due to the Fukushima Daiichi Nuclear power plant incident in March 2011, large quantities of contaminated water were released to the Pacific Ocean in Japan. The severity of contamination on the marine environment is unclear, therefore, the public is concerned with the possible internal radiation exposure from ingesting contaminated seafood products caught in the Pacific Ocean. This study was aimed to investigate the presence or absence of gamma radioactivity in commonly consumed seafood products from B.C. In total, ten different species of fish and three different species of shellfish were selected for analysis. For each species of fish, two samples were collected and each sample was from a different local seafood market. For each species of shellfish, ten samples were collected from three different sources. Using the portable GR-135 Plus gamma ray spectrometer, the samples were tested and analyzed for the presence of Fukushima radionuclides, particularly Cesium-137 (Cs-137) and Cesium- 134 (Cs-134).Based on the analyzed fish and shellfish, no gamma radiation was detected. The detector did not identify any gamma radiation over the normal background readings.