TEST 2

 

Physiology 2.5.99

Food is essential for nutrition and energy

 

Food Hazards (Nutrition Book – Table 18.1 columns 1,2, 3 & 4)

1.                    Chemical Additives

-                      Flavor, texture, decoration

-                      Preservatives

-                      27 lbs/person/year

-                      Antibiotics added in animal feed

-                      MSG

2.                    Inherently Poisonous

a.        Mushrooms

-                      Permanent Liver Damage

-                      Helminth Gastrointestinal Disease

b.       Shellfish

-               Paralytic Toxin

c.        Fish

-                      Barracuda, snapper, amberjack, ciguatera

-                      Scombrotoxin – Tuna, Mahi mahi

 

3.                    Microbial Hazards

-                      food spoilage - waste

-                      Infection – direct

-                      Toxins – poisons

-                      Change food into poisonous form

 

-               2 VIDEOS

-                      EBOLA the plague fighters

-                      Eating Disorders

Public Health 2.12.99

 

Food Preservation

-                      Temperature Control

-                      Most frequent and best technique of Western World

-                      Freezing – certain foods frozen for months.  Cooled to –35 degrees C, then retained @ -10 degrees C.  NOT a method of sterilization because cysts, spores, some bacteria ( non-spore forming) can survive.

-                      Common Sense:

1.                    Washing of hands

2.                    Do not use bare hands for food

3.                    Keeping things covered, do NOT cough/talk over food being served

-                      Staphylococcus aureus can produce a toxin

4.                    Clean cutlery, utensils, containers for cooking/storage

5.                    Cans which are broken distorted should not be opened & contents consumed

6.                    Eat food that looks/smells good & has “normal” consistency

 

-                      Freezing reduces metabolic activity of microbes & actual food.  Maintains freshness, flavor, & taste

-                      Any food shoud be thawed quickly & used.  DO NOT refreeze.  Thawing food should be done @ refreigerated temp. (4 Degrees)

-                      Freeze burning – food loses taste

-                      Refrigeration only some food are held @ short term storage (3-5 days)

-                      Serving of food

-                      <4 deg. C – COLD

-                      >60 deg. C – HOT

-                      4 – 60 deg. C – Mesophilic (most pathogens are mesophilic)

 

Drying

-                      Open air (Sun)

-                      Oven Drying

-                      Dehydrates

-                      Lyphilization – Freeze Drying

-                      Coffee, nuts, tea

-                      Food is put into a container surrounded by liquid Nitrogen which maintains a Temp. around – 75 – 100 degrees C

-                      Preserves flavor, nutrients, and quality while maintaining freshness

 

Vacuum Packaging

-                      Put food in a bag and suck the air out without dehydrating the food

-                      With no air, aerobic microbes can not survive

 

Smoking Food

-                      Flavors food

-                      Cooks food

-                      May be carcinogenic

 

BBQ

-                      unhealthy due to burning and possible carcinogens

 

Microwave

-                      Health practice with very low incidence of carcinogens

-                      One must test temperature to assure thorough cooking

 

Eggs

-                      Sunny-side up, may leave microbes in egg – salmonella, etc.

 

Irradiation

-                      Non–ionizing radiation  - UV light

-                      Bacteriocidal

-                      Viricidal

-                      Fungicidal

-                      May be used to create an aseptic environment for food storage

-                      Ionizing radiation – X-ray & Gamma Ray

-                      Radionuclear products created in food

-                      May show polyploidy in animals eating this feed

-                      Indicates tumor/cancer ???

 

Brine

-                      Saok in high salt concentration

-                      Increased osmotic pressure destroys organisms

 

Pickling

-                      creates an acidic environment

 

Syrups

-                      osmotic differential created

-                      Fungi & yeast may grow well

 

Chemical Preservatives

-                      Good

-                      Inexpensive

-                      “Responsible for saving millions of lives”

-                      Found in nearly every food

-                      Bad

-                      High Sodium (Na+)

-                      Carcinogens

 

PH 2.17.99

MILK

-                      Considered one of the most nutritious food

-                      Contains all the nutrients – Water, lipids, proteins, CHI

-                      Mother’s Milk also contains Copro-antibodies (antibodies extrude through bod cavities);  IgA,

3 types of IgA

-                      IgA in blood/lymph

-                      IgA in serum

-                      IgA as secretory component

-                      Does not contain Iron or Vitamin C, but almost every other nutrient…

-                      Nutritional Index – measures nutritional value of a specific nutrient per Liter

-                      IQ may be increased if nursed as an infant (18 months recommended)

-                      Bacteria and Microbes find nutrients in milk

 

Cows Milk

-                      M. Bovis

-                      Table 27.3 – pg. 767: Pathogenic orgnaisms transmitted in food and milk

-                      Staph. Aureus

-                      Clostridium perfringens

-                      Bacillus cereus

-                      Clostridium botulinum

-                      Salmonella species

-                      Shigella

-                      Enteropathogenic (E. Coli)

-                      Campylobacter

-                      Vibrio Cholera

 

Organisms responsible for spoiling milk:

-                      Streptococcus Cremoris used to make

 

Milk Processing

-                      Pasteurization/Homogenized

-                      Table 27.4 – Tests used to determine the quality of milk

-                      Phosphate Test

-                      Determines how well the milk has been pasteurized by testing for ΰ Monophosphodiesterase – releases phenol from Titrated phonlic esters

-                      Reductase Test

-                      Standard Plate Count

-                      Test for coliforms

-                      Test for pathogens

Pasteurization (pg. 771)

-                      Heats the milk to help kill pathogens

-                      Heated to 6 3 degrees/30 minutes

-                      Heated to 87.8 degrees for 3 seconds

 

 

WORMS

-                      Helminthes

-                      Parasites

-                      ***Pages 315- 322

 

3 Types of Worms

1.                    Roundworms

-               Nematodes

2.                    Flat worms

a.                    Leaf-like

-                      Flukes

-                      Trematodes

b.                   Ribbon-like

-                      Live in colonies

-                      Tapeworms

-                      Cestodes

 

Public Health 2.19.99

Drugs of Abuse Potential

                Handouts 18-21

CSA – Controlled Substance Act

DEA – Drug Enforcement Agency

 

CSA – I

-                      Most abuse potential

-                      No medical use

-                      Most deadly

-                      Most addictive (dependence potential)

 

CSA – V

-                      Least abuse potential

-                      Often used medically

-                      Least addictive potential

 

***Know

Drug group categories

-                      Narcotics

-                      Cannabis

-                      Depressants

-                      Stimulants

-                      Hallucinogens

How used/consumed

Medical Uses

Questions/answers to Handout #26 (old test)

 

***Do Not learn (for test)

-                      Street names

-                      Chemical Names

 

WORMS

-                      Multicellular Eukaryotic animals

-                      Parasites

 

Survival

1.                    Thick cuticle

-                      Covering which is indigestible

2.                    Reproduce

-               High Rate of Reproduction

-                      99% or Larvae are expelled

-                      1% remaining continue the disease

3.                    Larvae

-                      May be a source of disease without reaching adulthood

-                      May be larger than adult

4.                    Ability to penetrate/cut/attach

-                      Hooks

-                      Cutting plates

5.                    Disease/Pathogenesis

-                      Usually obstructive diseases result

-                      Some produce toxins

6.                    Reproduction

-                      Vegetative – cloning

-                      Ex. Planaria

7.                    Hermaphrodites

-                      Contain both male and female sex organs

-                      Facilitates reproduction

 

PLATYHELMINTHES

Flatworms (Trematodes)

-                      Flattened Dorso-ventrally

-                      Leaf-like

-                      Regenerative abilities (Totipotency of each cell)

-                      Flukes

-                      Several Intermediate Hosts

-                      Humans

-                      Smails

-                      Crabs

 

Tapeworms (Cestodes)

-                      Hold on to GI wall by scolex

-                      Feed on digested food

-                      Strobila – tapeworm body

-                      Proglotid – sections that may become an individual

-                      Length – up to 10 M

 

NEMATODES

Roundworms

-                      Tube within a tube

-                      Tail secretes cement to anchor the parasite to host wall

-                      Muscles between Cuticle and endothelium

-                      Most abundant animals on earth

 

Pinworms

-                      Entrobius vermicula

-                      Cause intense itching near anus – particularly in children

 

Hookworms

-                      Ancylostoma – Old world hookworm

-                      Necator americanus – new world hookworm

 

 

Public Health 2.24.99

TREMATODES

(Handout PH 23)

 

 

CESTODES

-                      Tapeworms

-                      Ribbon-shaped

-                      Upto 10 m long (30 ft.)

-                      Live in Colonies

-                      Scolex – “head” – contains hooklets & suckers

-                      Strobila – is the chain

-                      Proglotids – links in chain (individual organisms)

 

S/S

-                      Nausea

-                      Abdominal Pain

-                      Lethargy

-                      A lot of food eaten – little food absorbed

-                      Weight loss

 

 

-               T. Saginata

-                      Beef tapeworm

-                      Released from human feces θ eaten by cow θ human eats infested beef

 

-               T. Solium

-                      Pork tapeworm

 

-               Echinocossus granulosis

                -               Sheep Tapeworm

-                      Hydatid Disease

-                      Carriers:

-                      Cattle, deer, dogs, horses, humans, pigs, rabbits, sheep, wolves

-                      Cyst forming in various tissues

-                      Bone, liver, brain, heart kidney, lung, spleen

 

-               Dibothriocephalus latus

-                      Dibothriocephaliasis

-                      Carriers:

-                      Humans, dogs, cats, bears

-                      Any fish eating organism

 

HEALTH CARE AGENCIES

-                      Government

-                      Secretary of Health & Human Services

-                      Social Secretary

-                      USPHS  - US Public Health Services

-                      CDC – Center for Disease Control

-                      FDA – Food and Drug Administration

-                      HRA – Health Resources Administration

-                      HAS – Health Services administration

-                      NIH – National Institute of Health

-                      ADAMHA – Alcohol, Drug Abuse, and Mental Health Administration

-                      USDA – Department of Agriculture

-                      EPA – Environmental Protection Agency

-                      Armed Forces Branches

-                      Semi-government

-                      Red-Cross

-                      Private/Professional Societies

-                      International

-                      WHO

 

PH 2.26.99

USPHS

-                      HQ in Washington DC

-                      (Handout PH 25)

-                      Regulate the # of beds in a hospital

-                      Hospital Openings, etc.

-                      Making sure that each areas needs are met

-                      Disbursement of Federal Funds

-                      Immunization Programs

-                      Generate Statistical Data for Health Regulation

 

CDC – Center for Disease Control

-                      Most costly agency

-                      Governs:

1.                    Supports International Crisis

2.                    Diagnostic Specialties

-                      Collects millions of samples to help diagnose difficult diseases from around the world

3.                    Tracking Outbreaks

-                      To predict potential upcoming outbreaks (Influenza)

4.                    Health Education and Training

-                      World wide good will mission to train Foreign Countries

5.                    Research

-                      Minimal research – not a major source

6.                    NIOSH – National Institute of Occupational Science and Health

-                      HQ in Philadelphia

-                      Ergonomics

-                      Keeping the work place safe

-                      Not part of the Department of Labor (OSHA)

 

FDA – Food and Drug Administration

-                      Controversial agency

-                      1200 – 1500 products taken off of market after its been passed through FDA

-                      Validates the effectiveness of Drugs & Food

-                      Toxicology labs to help develop safety

 

-                      DEA – Drug Enforcement Agency

 

NIH – National Institute of Health

-                      Primary research agency

-                      HQ in Bathesda, MD

-                      2500 grants to Universities

-                      ADAMHA

-                      Clinics/Health Centers

-                      Some for recovering Alcoholics

 

 

 

USDA – US Department of Agriculture

-               Not associated with Public Health Agencies – it is independent

-                      Safeguard produce items

-                      Produce, meat, dairy, etc.

-                      Inspects some imported food

 

FTC – Federal Trade Commission

-                      Safety of Imported food and other products

-                      Packaged foods

 

EPA – Environmental Protection Agency

-                      Independent agency

-                      Created in 1970

-                      Middle man between legislation and US competition with foreign coutries

 

 

HRA – Health Resources Administration

-                      HQ in Wahington DC

-                      Encourage Dr.’s to serve in Poverty areas

-                      National Center for Health Statistics

-                      State PH department

-                      Census Bureau (1785)

 

HSA – Health Services Administration

-                      Clinics, Health Centers, etc.

-                      Coast Guard

 

WHO – World Health Organization

-                      Created by the United Nations

-                      Proposed by Brazil

-                      Currently an independent agency

-                      HQ in Geneva, Switzerland

-                      6 Regional HQ

-                      Wahington DC

-                      Past work

-                      Immunizations for :

-                      Small pox

-                      Polio

-                      TB

-                      Today

-                      AIDS

 

RED CROSS

-                      International

-                      Cares for war prisoners

-                      Works in prisoner exchange

-                      U.S.

-                      Flood Relief, blood collection, etc.

-                      Quazi government agency

 

MARCH OF DIMES

-                      Polio

-                      Private foundation

-                      American Cancer

 

DEPT. OF JUSTICE

-                      Cares for prisoners

 

NRC – Nuclear Regulatory Commission

-                      Cares for regulation so population is not exposed

 

 

Occupational Related Accidents

(PH 26 & 27)

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