AlsO A CAREER LESS ORDINARY From wine tasting to working in
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AlsO A CAREER LESS ORDINARY From wine tasting to working in
ten11 Ten11 YEARBOOK FOR THE Environmental health officers’ association 10/11 insidE LIFE ON THE FRONTLINE Environmental health at times of crisis LEPTOSPIROSIS A forgotten zoonotic disease? VITAL PROJECT Impact of viruses HOW DID I GET HERE? Environmental Health can lead to a diverse career Also A CAREER LESS ORDINARY From wine tasting to working in Haiti Human Bio-monitoring Developing a harmonised approach Scallop processing Investigating the food safety implications 11th WORLD CONGRESS Reports from Vancouver And more ... www.ehoa.ie EHOA | yearbook 10/11 1 when accurate temperature monitoring is critical choose the experts ten11 Reference Thermometer +/0.05°C Mini Calibration Bath CaterTemp Plus Waterproof Robust Dishwasher Temperature Labels Quality service, relevant advice and specialist products - all from Rototherm Anemometer ThermaData Logger • Thermometers • Probes • Analytical Instrumentation • Calibration • Temperature Mapping for IMB Compliance • Temperature Monitoring Systems Therma 20 Kit Competitive Pricing • Fast Turn Around Time 2 Unit C2 Clonlara Avenue, Baldonnell Business Park, Naas Road, Dublin 22 Tel: 01 466 0260 Fax: 01 466 0285 Email: [email protected] www.rototherm.com EHOA | yearbook 10/11 www.ehoa.ie ten11 Welcome Chairman’s welcome Colleagues, would like to welcome you to the 2010/2011 Environmental Health Officers Association Yearbook. Year on year, the publication of our Yearbook is one of the highlights in our calendar and our members look forward to perusing it and reading the many articles of environmental health interest. It is very gratifying that this wonderful publication is produced solely by volunteers from our own membership, and that the majority of contributions and articles are penned by our own members. Notwithstanding that, it is not an easy task to seek, gather and proofread all the articles and contributions and I want to take this opportunity to sincerely thank the Editorial Committee for delivering this high quality publication. I also want to express a special thanks to our Editor, Ms I Lorraine Dowling who dedicated so much of her time to ensure its publication. In addition, I’d like to thank our contributors for sharing their insights and expertise, as well as our publishing partners Zahra Publishing, who published the Yearbook for us for a second year. As you will see, the articles in our Yearbook are again wide-ranging, interesting and informative. This year, it also captures and describes some of the many projects and events we were involved in over the course of the last twelve months. I trust you shall enjoy and benefit from our 2010/2011 Yearbook. I also hope that it will inspire you to continue your individual participation and contribution to the many projects that our Association is involved in at present in order to achieve our objectives. Mise le meas, Shane Keane Chairperson, Environmental Health Officers Association editor’s welcome T he articles in this, the 28th edition of the EHOA Yearbook, demonstrate the variety of work carried out by members of our profession, both in Ireland and internationally. Through our participation at world environmental health conferences, we maintain contacts with and have shown leadership in the promotion of the profession worldwide. Some of the original founders of the International Federation of Environmental Health (IFEH) are members of the EHOA. Acknowledging our social responsibility, the EHOA awards the John Shelley Bursary each year to a worthy project, either at home or abroad. The Kulanga Bana Project in Zambia was awarded this Bursary in 2010 and details of this project are included in this edition. I have featured articles written by environmental health professionals who have and are working for non-governmental organisations such as Concern and the Red Cross/ Red Crescent Societies, on assignments in some of the world’s most dangerous situations, where they use their expertise in environmental health, health education and disaster management to assist vulnerable populations. In response to our need to understand and www.ehoa.ie adapt to emerging environmental health challenges, we have included an article that details the VITAL Project, which is investigating the impact of viruses on food safety risk management. An article entitled ‘Human Bio Monitoring for Europe and Ireland - developing a harmonised approach’ details the DEMOCOPHES study, which seeks to provide more accurate information on the exposure of populations to environmental chemicals. An article on the new Bathing Water Regulations demonstrates how computer modelling can be used to make environmental health data more accessible to the public. Not to be outdone by new thinking and new technologies, an article on Leptospirosis, which has increased in Ireland in recent years, highlights this old but emerging zoonotic disease. Investigations including surveys are important means by which Regulators determine compliance or otherwise, with legislation designed to protect public health. We feature an investigative study into complaints about scallops. I wish to thank the following people who made this publication possible: the members of the Editorial Committee: Andrew Byrne, Sara Duffy, Padraic Gorby, Damien Lynch and Kay O’Connor; Lisa Fitzpatrick PRO EHOA; and Ray Ellard Honorary Secretary of the IFEH, who provided photographs from various EHOA and IFEH events during 2010; and a special thank you to the authors of the many fine articles featured, for taking time off from their busy schedules to write about their work experiences and for providing valuable insights into their academic areas of expertise. Well done everyone. Sincerely Lorraine Dowling Editor, EHOA Yearbook 2010/2011 EHOA | yearbook 10/11 3 ten11 contents image credits We would like to thank Concern Worldwide for allowing us to use images in this publication. The image featured on the bottom right hand side of the cover is of Sofi Zawadi, Masisi, Democratic Republic of Congo. Photographer: Kim Haughton. Thanks also to Enda Scahill for allowing us to use his photographs of Blackrock, Co. Galway, which appear on the cover, contents page and page 40. contents 24 News & Updates 06 Chairman’s address from the EHOA AGM 2010 08 Honorary secretary’s report from the EHOA AGM 2010 10 Retirements Jennifer Shorten, Hon. Secretary, Heraghty House, 4 Carlton Terrace, Novara Avenue, Bray, Co.Wicklow E: [email protected] [email protected] W: www.ehoa.ie Editor Lorraine Dowling Editorial committee Kay O’Connor, Sarah Duffy, Damien Lynch, Padraic Gorby and Andrew Byrne Published by Zahra Publishing Gerry Moran, Mary Hynes, Mary Falvey Bernadette Conneely, Sheila and Ian Daly Fergus Barry, Richard P. (Dick) Fitzgerald 13 Obituaries Michael Griffin, Dr Harold O’Sullivan 14 EHOA Photo Gallery Familiar faces at EHOA events held during 2009 and 2010 16 John Shelley Bursary 2010 This year, the John Shelley Bursary was presented to Touch Shannonside for the Kulanga Bana Project 17 Conversations for tomorrow’s environmental health Lisa Fitzpatrick reports from the EHOA Forum 18 Official launch of the primary publishing For further information on this service, contact: Zahra Publishing T: 01 235 1408 E: [email protected] W: www.zahrapublishing.ie course in food safety and DVD, food safety for you Jennifer Shorten explains the advances in the new primary course in food safety 20 Memorandum of Understanding A new memorandum of understanding sets out the framework of co-operation between the HSE and EHOA 21 Risk Assessment in Focus Account Manager Anna Clarke Design Siobhán McNabb Andi Anderson 4 EHOA | |yearbook EHOA yearbook 10/1110/11 Niamh Kelly discusses our first annual educational event 22 Our role in student training Emer McShea discusses changes in our role in student training www.ehoa.ie ten11 contents 23 Launch of the Yearbook 09/10 24 11th World Congress on Environmental Health Shane Keane, Aoife Merriman, Ann Louise Grant and Stephen Murphy report from Vancouver 26 Viva Aviva 40 Sean Mrozek introduces some of the environmentally friendly features of the new Aviva Stadium environmental health matters 38 Human Bio-monitoring for Europe and Ireland – Developing a Harmonised Approach Maurice Mulcahy and Dr Reinhard Joas explain the significance of the Democophes project 40 New Bathing Water Regulations – A computer modelling project 32 Paul Hickey introduces an innovative computer modelling project undertaken in galway 42 Vital: Impact of Viruses on Food speak up 28 How Did I Get Here? Niall Roche charts his interesting career, which has taken him around the globe 32 Life on the Frontline of Health and Hygiene Angela O’Neill De Guilio shares her experiences as an environmental health officer in some of the most challenging environments on earth Safety Risk Management Kris A. Willems and Rita Moloney introduce the Vital Project 48 Leptospirosis: A Neglected Zoonotic Disease Ado Van Assche, David Moloney and Kris A. Willems discuss the prevalence of leptospirosis and measures to prevent its spread 52 Investigating Scallop Processing Practices Liam Kennedy presents the findings of a recent study to investigate the processing of scallops 35 An Environmental Health Career Less Ordinary John Fleming discusses a career that has taken him from wine tasting to co-ordinating health programmes in Haiti www.ehoa.ie 56 Logos and listings 58 EHOA Contacts and listings EHOA | yearbook 10/11 5 ten11 C h a i r m a n ’ s Add r e ss Chairman’s address - EHOA AGM 2010 I would like to introduce to you the other members of your Officer Board who are here today: Stephen Murphy, National Treasurer; Jennifer Shorten, Honorary Secretary; and Lisa Fitzpatrick PRO. This is my first year as Chairman of the EHOA. l will make some remarks shortly, reflecting on my first year as Chairman of your organisation during a period, which I’m sure we’d all agree, saw extraordinary and dramatic change in our country and in our professional working environment. But first, I should summarise the major achievements and events that have taken place in the past year. This has been the 57th year in the life of our Association. All our activities in this year have been focused on achieving the ideals set out in our mission statement; namely, to promote, educate and advise our members, the public and industry on environmental health and public health issues in the 21st Century. Late last year, we concluded a lengthy process whereby we reviewed the activities of the organisation with an emphasis on identifying what the focuses for the Association should be, in line with our mission. In order to then translate this mission into practice, towards the end of 2009 we drew up a Development Plan. This plan provided us with a coherent picture of the business aims and objectives of the EHOA for the next five years. At its heart is a desire to improve services to you, protect and expand our current income streams and put Environmental Health policy change at the heart of our business. Throughout the year, the themes within these objectives, namely Members Services, Organisational Development and Policy and New Horizons were each overseen by the Officer Board and specific groups or committees were established to implement them. I will now briefly outline the 6 EHOA | yearbook 10/11 various projects and work that we have undertaken to implement these objectives, with these themes in mind: We have done a lot of work in the last twelve months to realise our objective to enhance excellence in our professional practice and the service of the Association to its members. We currently have work well underway on a couple of publications, namely the revision of the Food Hygiene for Food Handlers Book and a document for butchers shops that aims to present all the recent legislative changes in a user friendly format. It was recognised that our members’ role in the interview of third year DIT Environmental Health students and correction of their work placement logbooks required improvements and this would be in the interest of students and our membership. In response, we commenced a review of our involvement. This review highlighted concerns that the Association had in relation to the core course syllabus. To this end, our Education and Examination Committee met with DIT and brought our concerns to their attention. I am glad to report that we have commenced a new and meaningful dialogue with them on this important issue. This discussion also clarifies the exact roles of the Association, DIT and the HSE in relation to responsibility for student training and development. A lot of work has been done by our group to look at the revision of our Articles of Association, with a view to making sure that they are fit for purpose and current. This work is almost complete and a separate meeting of members will be organised to consider the proposed changes within. In a first for our Association, this year we held our Educational Event. This was deliberately focused to give the greatest Pictured Shane Keane, Chairman, EHOA. benefit to our members and our pricing structure for the event reflected this. The day was extremely well supported and the feedback from our members was very positive and encouraging. We intend that the Educational Event will be an annual event. In May this year we were in Athlone for our Annual Forum, which was again a joint event with our partners in CIEH Northern Ireland. Our theme this year was “Conversations for Tomorrow’s Environmental Health” and we were honoured to have Ms Mairead McGuinness MEP deliver the key note address. Again, the feedback from our members was very encouraging. In a change to the normal format of the Forum, we recorded interviews with each of the speakers about their key points. These will be available on our website very shortly. As you are aware, we have developed an awards process, which is designed to showcase significant achievements and innovations in the field of Environmental Health, not just within the profession but, where appropriate, in other likeminded professions, academia or the wider community. As such, the Awards will add significantly to our existing award scheme, which grants fellowships to EHOA members who we wish to recognise for the distinctive service that they give. These awards will further promote professional excellence and recognise leadership in Environmental Health. We are aware that our website is www.ehoa.ie ten11 C h a i r m a n ’ s a dd r e ss important to our organisation and we wish all our members, licensed food hygiene training course providers and the public to have a better experience browsing the EHOA website. On this basis, we have entered into a service agreement with a new service provider, and the new site will be unveiled very shortly. Two areas of work under this objective, which we did not address and have deferred to look at in 2011, were exploring the merits of additional honorary positions and how to ensure greater branch involvement and revitalisation. When it comes to our policies and what lies ahead on the horizon, we have done a lot of work in the last twelve months to progress these areas. Part of this includes identifying key areas and developing a position or policy on them. The areas we have focused upon are pest control and climate change. In relation to pest control, we now have a very active committee in place. A group led by the Western Branch is working on the area of climate change. Our policy development is being undertaken on an all-Island basis and in conjunction with CIEH Northern Ireland. It will also deal with the practical changes that each of us as members should take to demonstrate our commitment to leading by example and any similar steps that we should be taking in Heraghty House. The Officer Board were in detailed discussions with the Chartered Institute of Environmental Health, UK regarding the mutual recognition of the academic qualifications of graduates of the Dublin Institute of Technology, BSc (Environmental Health) four year degree course who wish to work as Environmental Health Officers in the UK. In response to this and calls from our members’ Central Council, we agreed that the Association should revisit the area of statutory registration for our profession and a group was to be set up to explore this. Of course, any decision would be dependant on approval by members and consultation with the IMPACT Vocational group. As yet, we have not established our group to act on this and this has been overtaken by the submission of a motion on the topic today. We will all have an opportunity to formally discuss the matter then. Other actions that relate to our organisational development include ongoing work regarding the progression of tattoo policy, the establishment of a small www.ehoa.ie group to keep a watching brief on the area of Tobacco Control, participation in the International Federation of Environmental Health and with the Advisory Board to the DIT course. We also commenced revisiting the whole area of NEHAP (National Environmental Health Action Plan). In relation to our objective of developing the Association as an organisation while protecting our resources, we have again been very busy. One of the largest and most complicated pieces of work that we undertook this year was the review of the EHOA Primary Course in Food Safety. This resulted in us entering into a partnership with a UKbased publishing company, which has a wealth of experience in this area. This review also highlighted the need for us to seek FETAC accreditation for ourselves as a training body – I know that Jennifer will be going into more detail in these areas shortly. Other areas of our organisational development that we considered this year but have yet to finalise included, options for Heraghty House; services to Association/Policies; and the creation of a formal marketing strategy for our products and services. I hope that that we can bring these to fruition in 2011. As you will appreciate, we have had an extremely active year and I am happy to say that we have made a lot of progress. However, this comes at a time when the Irish economy is clearly in a severe recession. Reports of weakening economic data, not only for the Irish economy, but worldwide, is a cause for concern. So, what does this mean for our Association moving forward? Shortly, you will see from Stephen’s detailed report, that our income is going down and that we have made a substantial investment on the development of the new course and put a lump sum into paying off our mortgage. Like any business, you need to reinvest to profit, and it takes time to reap the benefit. This benefit is largely influenced by the strength of the market at the time. Considering our experience and reputation in the food safety training market and changes in how our members will provide this training, we nevertheless expect dividends to accrue to our Association from the newly designed EHOA Primary Course in Food Safety. I expect too that we will be able to respond to the changes we are facing as a result of the recession and changing environment. However, we will need to take a more conservative approach to budgeting for 2011 and to reflect this, I will be proposing a number of changes to the way we do business. The key element to achieving this, in my opinion is, we need to attract greater member involvement at branch level to support our activities and generate ideas and energy for projects to happen. We cannot rely on the cohort of active members. This brings me to my conclusion. I want to thank most sincerely the members of your Officer Board who have given so much of their own personal time and efforts to manage the Association on your behalf: Stephen Murphy, Honorary Treasurer; Jennifer Shorten, Honorary Secretary; and Lisa Fitzpatrick, PRO. These people have never shied away from the sometimes difficult situations that arise in our activities and they have always remained truly professional and loyal to our Association. I want to mention Stephen again, as this is his last task as Honorary Treasurer. Stephen has given five long years to the Association and has been at the forefront of some of the many high points in our recent history e.g., the smoking ban, purchasing the building and the Dublin World Conference. Stephen, we are indebted to you for all you have done for the Association. We also want to thank Adrianne and your daughters for giving their Daddy so often to the Association. Go raibh mile maith agat Stephain! Particular thanks, as ever, to our support team in Heraghty House: Deirdre and Amanda, for all your hard work, inputs and commitment to the Association in the last year. Finally, I would like to thank my own wife, Teresa and daughters for their patience with me while I have been preoccupied with my work as chairman of the EHOA. Thank you for your presence and patient listening. I welcome any questions you may have, but I will leave this opportunity until after the other reports. n Mise le meas, Shane Keane Chairperson, Environmental Health Officers Association EHOA | yearbook 10/11 7 ten11 Honorary secretary’s report Honorary Secretary’s Report – EHOA AGM 2010 Yearbook Launch The Eastern Branch hosted the launch of the EHOA Yearbook 2009/2010 in Heraghty House in April. The launch was later this year due to publisher problems but Marie Ryan and Zahara Publishing saved the day and produced an excellent publication. The yearbook was officially launched by Senator Niall O’Brolchain, Green Party Spokesperson on Children and Health. As always, a sincere thank you must be extended to the Editorial Committee for the hard work in producing another excellent publication, particularly with the problems experienced in such close proximity to our usual launch date. We must extend our sincere gratitude to Marie McCarthy for the years of service she has given to the EHOA Yearbook and we wish her well in her retirement as Editor, as she heads to Texas for a change of scenery. Pictured Jennifer Shorten, Honorary Secretary, EHOA. W e’re at the end of another year and it has been an extremely busy and fruitful year for the EHOA. As always this has been down to the efforts of the various working groups, members and officer board that we have completed so many projects and produced new training material for the EHOA. It’s hard to believe so much has been completed in such a short time. 8 EHOA | yearbook 10/11 All Island Environmental Health Forum 2010 We again chose the Hodson Bay Hotel, Athlone as the venue for this year’s Forum. The two day, one night format, which worked so well in 2009, was retained and again, we found this year’s event to be a great success. As always, we were delighted with the range and calibre of speakers and subjects and were delighted to welcome Senator Mairead McGuinness to address us on the Thursday. This year, we tried to involve the members more in the Forum, which was seen by the excellent final session on Friday during which a number of members from the EHOA and CIEH NI presented papers on work that is currently being done by our colleagues on the ground. Hygiene Education Expert Working Group I would like to remind you of what was said last year regarding the reason for the establishment of the Hygiene Education Working group - General Aims – to undertake a review of the Primary Course material as part of the FETAC application and to further develop EHOA training material in line with the proposed Business Plan and MOU with the HSE. I’m delighted to say that the majority of the work that we set out to do has been completed. FETAC – I am delighted to say that we have completed the FETAC application, which involved the production of EHOA policies and procedures in line with very strict and detailed FETAC Quality Management requirements – we have in fact developed a quality management system for the EHOA, which is currently being implemented. We have also carried out a major review of the existing Primary Course in Food Safety and have rewritten the course in line with the FETAC syllabus for the award we are hoping to achieve. Once we have been accredited by FETAC we will then be submitting the Primary Course. As mentioned, the Primary Course has been reviewed and changes have www.ehoa.ie ten11 Honorary secretary’s report been made in line with comments from Members and Trainers, FETAC requirements, legislation and standard changes – we now have in fact the new Primary Course in Food Safety. The aim of the review was also to improve the interactivity and accessibility of the Primary Course, so we have also produced new course books and workbooks and have also been given some of the interactive material that is available with the Highfield course – which is at a similar level to our own. The DVD has been completed. It was a little more interactive for a number of us then originally expected, so you will see a few familiar faces masquerading as Chef’s in the DVD. We made the DVD in partnership with Highfield, so there is a mixture of English and Irish accents and venues – but your own colleagues will be immediately recognisable. In relation to literacy/plain english – the end of session questions and PowerPoint slides have been reviewed and changes have been made in line with Plain English requirements – our next step is to seek accreditation from NALA for the course, which will advise any potential Learner that the course is in Plain English. Exam Papers – all exam papers have been reviewed and republished - we ensured that all questions on an exam paper are covered in the revised course. When all this work is complete, we will launch the new Primary Course in Food Safety – the new course will comprise of the DVD, up to date course slides, interactive exercises and games, course book and the course workbook. The tutors manual will we designed to assist trainers in training with the new material. We have also ordered food safety posters and stickers for sale in the food industry, with our branding. Our www.ehoa.ie partnership with Highfield has been of great benefit to us – and we have achieved so much in the year since agreeing to make the DVD with them. Members of the working group will be piloting the course prior to finalising the Tutor’s Manual and we are aiming to organise a road show in the new year, where we will go to a number of locations around Ireland and meet trainers and members alike to demonstrate the changes associated with the new course. We are also planning the direct delivery of training and will commence this as soon as all material has been finalised. Sheila Ryan, retired member has agreed to train on our behalf. Primary Course in Food Safety Number of Exams Taken, September 2009 – August 2010 Total Health Service Executive Exams 992 (down 785) Total External Tutor exams 4146 (down 68) Total Primary Course Exams 5138 (down 853) Total Safefood Exams 2755 (down 42) Grand Total 7893 (down 895) Value to EHOA €21,955 Summary Table of Exams Completed from 1999 - Present We need to change how we market the food safety training products owned by us – our members can no longer train if in employment with the HSE, so we need to get to the food businesses that would have been trained by EHOs. We are therefore planning to: ó Use the website for the sale of all new " This year, we tried to involve the members more in the Forum, which was seen by the excellent final session training material – we will be able to take on line payment ó Use the new website for private trainer advertising ó Increase the regional advertising of course which are being run by EHOA or Private Trainers. Retirements As of the EHOA AGM 2010, we have been notified of the following retirements; Sheila Ryan and Bernadette Conneely, both of whom were former Officer Board Members and Richard Fitzpatrick Principle EHO, Co.Clare. We wish them all a long and happy retirement. John Shelley Bursary 2009 The 2009 JSB was awarded to the Chernobyl Project, who was nominated by the South Eastern Branch on December 4th in the Clarion Hotel, IFSC. We were also delighted to be presented with a poster display at this year’s Forum showing how the money has been spent and the improvements it has made to the living conditions of the people in this complex. The 2010 John Shelley Bursary will be awarded to Touch Shannonside on Friday the 3rd of December 2010.n EHOA | yearbook 10/11 9 ten11 Retirements Retirements We wish all our retired colleagues a long and happy retirement Retirement of Gerry Moran Author: Sean Moore G erry Moran, Environmental Health Officer, Naas, retired on 31st March 2010. The dangling carrot of the ISER was just too much for Gerry so he grabbed his chance and went whistling off into retirement (too early) bringing to an end his almost 33 years involvement in Health Inspection and Environmental Health. And what a 33 Retirement of Mary Hynes Author: Anton Mullen F riends old and new gathered to say farewell, but not goodbye to Mary Hynes when she retired from the service in 2010. Mary had a double career. From 1974, Mary worked in the northeast sector of 10 EHOA | yearbook 10/11 years they were! From the time he received his diploma from Charlie Haughey in the Gresham Hotel in 1977, until he handed in his badge and gun (ok, his warrant and probe!) in March 2010, he has basically lived and worked in Kildare. There was a short sojourn in Cork for a few months, but that was too far away for a man born and reared in the shadow of Croke Park. Those early years enforcing everything from Public Health Nuisances, to Food Hygiene Regulations, were very challenging, but Gerry was well up to the task. To those who baulked at his demands, Gerry had a wonderful response:- “We can do this the easy way or the hard way”. Over the years, Gerry’s knowledge, experience and great common sense were shared generously with all who crossed his path. He was no respecter of titles, despised waffle and treated everyone equally, thus earning the respect of his colleagues and the general public. Gerry was a perfectionist and everything had to be just right. He even kept a can of three in one oil so that the office doors were always lubricated! the city of Dublin, with responsibilities for both local authority and health board services, as the service was not yet split at this time. She left in 1980 to look after her young family, but returned to the service in 1991 until her retirement. Mary remains a much loved and highly respected colleague and friend. They were not the only things lubricated over the years and many of you will remember Gerry in full flow at summer schools (oops conferences!) and AGM’s, playing his guitar and downing copious amounts of the black stuff, slagging all and sundry. In recent years, Gerry has swapped raucous nights and the guitar for quiet meditation and the violin, which he happily plays with his daughter Lydia (she makes a show of him!) It would be very remiss of me not to mention the legend that is the tea break in the Naas Office, as pioneered by Gerry. None of your instant coffee and digestives here. Only the finest brewed coffee and savoury delights were served, and woe betide anybody who produced inferior chocolate or biscuits. Sadly, just after he retired, Gerry learned of the terminal illness of his great friend and colleague Seamus Mc Intyre. Typical of Gerry, he spent much of his time helping to look after and care for Seamus. As a great believer in karma, Gerry can be sure of two things - he will have many deserved years of peace and joy and he will not be reincarnated as an E.H.O.!! All our best wishes go with him. n Since retiring, Mary has completed her Bachelor of Arts degree in Theology and Philosophy and is involved in pastoral work in her local parish. We wish Mary a long, happy and healthy retirement with her family, husband John, and children Miriam, Martin, Cormac and Rachel.n www.ehoa.ie ten11 ten11 retirements Retirement of Mary Falvey Author: Ger Faughnan O ctober 29th 2010 was a great day of celebration in the ‘wilds of west Cork’…it was the last working day in a very hectic career spanning almost 40 years for our Principal, Mary Falvey. Mary Falvey (nee Maguire) started her adult working life training to be a nurse, before changing career to life as a teacher. She didn’t realise it, but both career moves were of huge benefit to the profession that she eventually chose and that she loved up to the day she retired. Mary joined the Diploma in Health Inspection course in 1969 and graduated from the College of Technology, Bolton Street in 1972. During her time there she made many wonderful friends, including Lilly Byrne, Annette Fitzgerald, Breda Flynn, Bernadette Conneely, Marie Quinn to name but a few and this is where she met the love of her life, her husband, Ned Falvey. Mary always enjoyed a good laugh and she certainly generated much merriment here in Skibbereen recounting those years, whether it was with Matrons, Tutors or classmates. After college, Mary and Ned emigrated to the UK, where she was employed as a Health Inspector with Hammersmith Council in London. She then returned to Dublin in 1976, where she worked as a Health Inspector with the Eastern Health Board, based in offices in Dame Street. In 1978, Mary became a lecturer in the Dublin Institute of Technology on the Health Inspectors course. Her sense of humour certainly helped her survive because I can assure you, as a student at that time, she did not get away lightly from the constant commentary that the classes of 1980 and 1981 dished out. She admitted later that we intimidated her more than we could ever have imagined! In 1979, she was promoted to Senior Environmental Health Officer and made the move to Cork City in 1980. She quickly set about making and setting standards for both the environmental health service and the food industry, with our late colleague, Paddy Kiernan. In 1982, she moved to West Cork, where she was instrumental in developing new inspection techniques and tools, such as checklists, long before the Food Safety Authority of Ireland was established. Mary was never afraid at embracing new ideas or technology. I had the priviledge of joining the good ship ‘West Cork’ in 1990. Mary was particularly adept at encouraging colleagues to participate with her ‘if I can do it ,so can you’ attitude which meant that even someone like myself, with computer phobia, soon embraced the improvements that IT brought to the environmental health service. That enthusiasm, encouragement and ability to laugh at oneself, together with her practical and common sense approach made Mary extremely popular with staff in the HSE South. Mary was very proactive in the development of the Environmental Health Service at national level. She was appointed to the board of the Food Safety Authority of Ireland by Minister for Health Mary Harney, where she was an active and much respected contributor. On behalf of my colleague in the HSE South, I wish Mary, her husband Ned and sons Robert and Colin a lifetime of health and happiness. It is our sincere wish that they enjoy many years of travelling the highways and byways of Ireland and Europe, enjoying another of Mary’s passions- the Camper Van!. n Retirement of Bernadette Conneely Author: George Sharpson 2010. Many friends came to wish her well at her retirement party in the Fingal County Council Offices. Donal Cooney gave a brilliant speech about the good times he had working with her. Fingal County Council presented Bernie with a beautiful Crystal Vase for her loyal service to Fingal County Council and to Dublin County Council. As well as being a role model and changing the Association for the better, Bernie is missed by her colleagues for her wicked sense of humor. She is wished well in her retirement. n I reland was a different place today than when Bernadette Conneely left Carlow to study to become a Health Inspector in Dublin in the late 1960s. Like many women during that period, Bernie set out to change all that. She was elected Vice Chairman of the all male officer board of EHOA in the 1970s and was rightly considered a trail blazer and an inspiration to many within the profession. Bernie retired on the 31st March www.ehoa.ie The EHOA wishes both former members of the Officer Board, Sheila and Ian Daly many happy years of retirement. EHOA | yearbook 10/11 11 ten11 Retirements Retirements Retirement of Fergus Barry Author: Brian McKeever ergus began his career as an Health Inspector in Dublin City, working in general duties and was there for the big move from Dame Street to the Quays. This was followed by six months working in Tullamore, County Offaly with Tom Horkan, Supervising Health Inspector – an experience that left him with very happy memories. In October 1979, Fergus took up a permanent position as Health Inspector in the then North Eastern Health Board reverting to general duties in Cavan where he joined Sean Kelly (RIP), Bridie Eames (RIP) and Ramon McLaughlin. These duties consisted mainly of planning, housing and the monitoring of drinking water supplies on behalf of Cavan County Council. He also worked for a time in Monaghan, following the departure of the late John Ryan (RIP). When the issue of water pollution from agricultural sources became a major problem in Co Cavan, Fergus was very involved in the protection of Lough Sheelin. In the early nineties, Fergus became more and more involved in I.T. duties and the application of the new technology for the benefit of the environmental health service. Following his appointment to the position of Senior Environmental Health Officer in August, 2001 he was instrumental in the development of various databases for use in relation to housing and drinking water. These made possible the production of valuable management information. Fergus also played an active role in the development of food safety F 12 EHOA | |yearbook EHOA yearbook 10/1110/11 information systems for the North East. His pioneering work in producing the first tobacco control database in the country was a major achievement and became the model for similar projects elsewhere. He was a major influence in the positive development of the tobacco control service in Cavan-Monaghan. An example was his promoting the school buses project. This involved the joint participation of the service with Bus Eireann, which successfully eradicated the problem of school children smoking on buses. Somewhere in the middle of all of this, he managed to serve as Treasurer of the North East Branch of the EHOA for nigh on fifteen years. The track record described above will give some idea of the loss suffered by the service, not only in Cavan-Monaghan, but nationally, when Fergus retired from the service in March, 2010. It is with a sense of deep affection and gratitude that we bid farewell to Fergus and wish him every-happiness long into the future with his wife Martina and family. n Retirement of Richard P. (Dick) Fitzgerald Author: Martin Nestor ur colleague, Richard P. (Dick) Fitzgerald retired his position as Principal Environmental Health Officer with the Environmental Health service in Co. Clare, on the 17th September 2010. Dick undertook the four-year Public Health Inspection course in Bolton Street, Dublin, where he graduated in 1970. He was initially employed in County Cork as a Health Inspector and O worked mainly in West Co. Cork. Indeed, he often later recounted one of his worst days working when he witnessed harrowing scenes that arose following the Bantry Bay/Whiddy Island oil fire disaster which claimed the lives of 50 people. In 1982, he was appointed Supervising Health Inspector in County Clare, a position later to become known as Principal Environmental Health Officer. For the next 29 years, under his stewardship, the service increased from a staff of four to 22. His work in the field of environmental health advancement was most notable, aided to some degree by his twin involvement, at national level, in the Impact trade union. Dick was the ideal candidate to stress test any new environmental health plan or initiative and was adept at anticipating potential pitfalls. He always embraced new developments and was never shy to advocate the taking on of new initiatives. He will always be remembered as a great supporter of staff who might have been experiencing any personal difficulties, family illness etc. On 17th September last, a large group of family, friends and colleagues convened in the Old Ground Hotel, Ennis to wish Dick all the best in his retirement. Never backward about coming forward with an opinion (especially political), Dick was renowned for his ‘chairing’ of late night/early morning ‘think tanks’ at conferences, even before working breakfasts were invented, and he duly didn’t disappoint on the night (or morning) of his retirement also. A lifelong, paid-up member of the Cork ‘rebels’, he also had great affection for referees and neighbouring Munster counties. Maybe his only small regret was that his retirement function was not held a fortnight later (after Cork’s football All Ireland victory) and with some ex-Kerry footballers in the audience. From all of his colleagues in County Clare and the Mid-West Branch of the EHOA, we wish him many happy years of retirement. Somewhere out there, some other venue, or project, is about to be ‘livened up’. n www.ehoa.ie ten11 obituaries obituaries Obituary – Michael Griffin Author: Barbara Delaney, DIT any in the Environmental Health community would have been saddened and shocked to hear of the untimely death in November 2009 of Michael Griffin, who had been a lecturer in DIT for many years and would have been a feature of many DIT graduates’ memories of their time in college. Michael didn’t stray far from DIT for very long; he qualified as an architect in the College of Technology (as it was then called), Bolton Street in the mid-1970’s. Michael often reminisced about these times and about how the architecture M Obituary – Dr Harold O’Sullivan Author: Brian McKeever n the 20th of October 2009, the death occurred of Dr. Harold O’Sullivan, former health inspector and Fellow of the Environmental Health Officers’ Association. Following retirement from the army after the war, Harold took up duty as a health inspector in Dundalk, where his contribution to the improvement of housing and sanitation is still O of Dublin was changed, with many fine buildings of the Georgian and other eras being lost forever. He later acquired associateship and subsequently, membership of RIAI. He worked in a number of architectural practices and also set up his own practice. One of the signature commissions from his own practice was the design of the Irish Wheelchair Association headquarters. He had a lifelong interest and campaigned in the area of disability and was, for many years, Disability Advisor for the Faculty of Tourism and Food in DIT. It was fitting that, after Michael’s death, students of the School of Food Science and Environmental Health, in memory of Michael, made a donation to the Irish Wheelchair Association. He started lecturing in DIT in the early 1980s and contributed to many programmes in the Schools of Food Science and Environmental Health, Culinary Arts and Hospitality Management and Tourism. Michael was always keen to be actively involved in issues and was a member of many DIT committees and was very well known throughout the Institute. One of the DIT initiatives that had Michael’s enthusiastic support was the Bolton Trust, which was set up by DIT staff in the 1980s to foster enterprise and job creation. He was also involved in the area of arbitration. remembered with gratitude. It was during his time with the local authority service that he became increasingly involved in Union activities. This culminated in his being a leading force in the formation of the Irish Local Government and Public Services Union – the precursor to IMPACT. He also served as president of the Irish Congress of Trade Unions. During this period, he helped to negotiate important national wage He was a keen and talented musician, playing the guitar and, occasionally, keyboards. Those at his funeral heard music from one of his favourite bands Pink Floyd. He bore his illness with inspiring fortitude and typical optimism. Just a couple of weeks before his demise, his family and many of his friends in DIT and elsewhere will remember with great fondness a dinner held at Michael’s initiative. He used the occasion to launch his memoir ‘The Happiest Days Of My Life’, describing the previous six months of his life during his illness’. Michael was always a colourful and larger than life character, and full of entertaining stories. He had a strong commitment to the welfare and development of students and was always a strong support to them. Michael was a true and loyal friend to those lucky enough to have known him and his kindness to his friends was reflected in the support he received from so many of his friends and family during his illness. Those of us who knew Michael can count ourselves lucky to have had as a friend such an engaging character who added enjoyment and colour to our lives. We’ll remember you, Michael (and we’ll always smile when we think of you!) n agreements and played an important role in the establishment of the Labour Court. Alongside these activities, Harold was deeply involved in the research and dissemination of information on the local history of Dundalk and its surroundings. With his passing, the environmental health service has lost a good colleague and a proud standard bearer. Ar dheis De go raibh a anam. n Due to the number of retirements that occurred during 2010, only those that occurred earlier in the year could be featured in this publication. All other retirements and obituaries will be featured in the 2011/2012 publication. www.ehoa.ie EHOA | yearbook 10/11 13 ten11 photo gallery EHOA Photo gallery 2009/10 Events and people from the past year Student of the year Pictured (Above): Shane Keane, Chairman presenting the DIT Environmental Health Student of the Year Award to Karen Conroy. 14 EHOA | yearbook 10/11 www.ehoa.ie Photo ten11 gallery Tiger Woods watch out! Attending the annual EHOA golf outing were (L-R): Tom Maguire (Meath), Dave O’Brien (Dublin), Eugene MacDonagh (Waterford), Paul Rutherford (Dublin) and Matt Grogan (Wexford). The golf was played in glorious sunshine at South County Golf Club, Brittas, Co. Dublin on the 20th August 2010. Tom Maguire was the winner with 29 (Points) Singles Stableford. www.ehoa.ie EHOA | yearbook 10/11 15 ten11 John Shelley John Shelley Bursary 2010 T he John Shelley Bursary was accepted by Seamus Gleeson of Touch Ireland on behalf of Touch Shannonside for the “Kulanga Bana Project” on the 8th December 2010. Touch Shannonside is one of a number of Touch Ireland support groups. Launched in July 2003, with the aim of ensuring that all money raised goes directly to serve the project they take on, Touch Ireland is an umbrella group for a number of support groups around the country. Each support group takes on responsibly for fundraising and managing specific projects. To date, Touch Shannonside, has engaged in projects focusing on vulnerable children orphaned as a result of the Aids crisis and/or suffering from poverty and other related diseases such as TB, in Zambia. The projects are multi faceted and provide immediate basic needs such as child sponsorship and food and clothing containers, and more long term support such as housing, sanitation, educational and nutritional support. Over the past four years, Touch Shannonside has worked tirelessly to fund a number of projects. With the assistance of a similar group in Kildare, in April 2007, they succeeded in building two school blocks (Mapepe School House) in Lusaka, Zambia, each consisting of three large classrooms, a computer room and an office, together with a separate kitchen block where a food programme is operational and a block of toilets. In 2008, to accommodate salary-less teachers, a group of thirteen young men and women from the Leitrim/ Carrick and Boyle areas built six houses and connected electricity and water to 16 EHOA | yearbook 10/11 Pictured Lorcan Shelley presenting the John Shelley Bursary to Seamus Gleeson of Touch Ireland. Also pictured are Shane Keane, Chairman EHOA and Ray McLoughlin SEHO. them. A bore-hole was also drilled and an electric pump installed to serve the people living in one adjoining compound. The following year, 2009, the Shannonside group of “Touch” funded the building of a nutrition centre in Chipata compound, which is also on the outskirts of Lusaka, Zambia’s capital. Sr. Paula Healy a Franciscan missionary based in this compound for many years had approached “Touch” to request a building where many hundreds of children could come to be fed every day. This project is completed and is up and running. It is a centre to be proud of and was officially opened by one Irish Ambassador to Zambia, His Excellency Tony Cotter, when the volunteers were out in May 2010. Kulanga Bana Project At the moment, the Shannonside group is evaluating the drawings/plans for a project that consists of three terraced houses at Kulanga Bana Farm, an area of 50 acres that was donated by villagers to help take children off the streets. Already, a small group of older “street” boys, using only hand tools, have cleared eight acres for maize and four acres for vegetables. They are living on the farm and off the products of the farm, but in a building that one could only describe as a poor hen house. We hope to accommodate up to 32 children in the new building, making every effort to keep siblings together under one roof to help to restore the family concept to “street children”. At time of going to press, the group has raised over half of the €55,000 target, which they estimate will be required to complete the project. The group aims to have this done before the end of 2011. All monies raised by “Touch” volunteers goes directly to the projects. Volunteers who travel either to work on the construction projects, or in the orphanages and those who operate the child-sponsorship schemes, do so at their own expense entirely. This is what makes the charity unique! Details of the group can be accessed at http://touchireland. bluewaterroad.ie/support-groups/ shannonside-group Finally, no mention of Shannonside and particularly the Boyle area could be made without an environmental health connection. One of the main drivers behind the group is Eileen McGowan, sister of our esteemed colleague Donal O’Connor. n Pictured (L-R) School at Meppe, Lusaka, under construction in 2007. This was completed entirely by local labour. Pumping water at the school site at Mapepe. Electric Pump has been installed. Eileen McGowan with sponsored children at Kiwte Orphanage in Zambia. www.ehoa.ie ten11 EHOA F o r u m Author: Lisa Fitzpatrick PRO EHOA, reports from the EHOA Forum Conversations for tomorrow’s environmental health T he two day Forum entitled “Conversations for Tomorrow’s Environmental Health” organised jointly by CIEH/ EHOA welcomed over one hundred and seventy delegates to the Hodson Bay Hotel, Athlone. The Forum commenced on the 14th of May 2010 and proved to be a major success. The speakers certainly got everyone chatting by concentrating on the issues that will face the environmental health profession in the not so distant future. Mairead McGuiness MEP started proceedings and delivered a superb, passionate and descriptive keynote speech. A member of the Environment, Food Safety and Public Health Committee of the European Parliament, Mairead spoke about some of the important new challenges facing the food industry and those who regulate it into the future, including ‘novel’ foods, food’s produced using nanotechnology, the use of cloned animals in the food chain and the interaction of packaging materials on foodstuffs. She informed the group that there have been no applications submitted to the European Food Safety Authority (EFSA) for nano products. The first section Food – Future Issues, touched on such topics as a sustainable food system for all in Ireland, Challenges and Initiatives, Hospitality Trends and concluded with a debate chaired by Ray Ellard FSAI and Marie Jennings FSA. The afternoon session focused on the very relevant issue, Emergency Planning – Extreme Weather Events. Delegates could have listened for longer to the insightful words from Dr. Pamela Bartley on her topic, Extreme Rainfall: Potential Impacts on Groundwater & Surface Water Resources – Quantity & Quality. Gavin Maguire, Assistant National Director - Emergency Management and now of Environmental Health defined Major Emergency Management and explained how this is conducted at local, regional and national levels in the www.ehoa.ie Pictured Above left: (L-R) Ray Ellard FSAI, Steven Cooper CIEH NI. Right (Top-bottom): Sinead Murphy EHO; Paul Hickey SEHO; Delegates at the forum; Stephen Murphy, Shane Keane, Jacinta Greene Beatty, Mairead McGuiness MEP, Steven Cooper. Republic of Ireland. His presentation focused on the roles of the three principle response agencies. In April 2009, Ireland saw the very first activation of a national emergency response coordination committee (ERCC) in response to pandemic influenza. Since then, it has met to co-ordinate response to nationwide impacts from flooding, severe weather and most recently, volcanic eruption. This session was brought to conclusion by case studies from EHO Joan McCaffery EHO and Karen Prendergast SEHO, who spoke about how the recent floods had been dealt with by the professionals on the ground. But it wasn’t all work and no play as the forum dinner dance had all the elements of a great night. However, we rose bright and early for session 4 – Communicable Diseases, an interesting topic after your bacon and eggs. Dr. Paul McKeown, Specialist in Public Health Medicine, HPSC spoke on pandemic planning. In addition, Dr. Mary McNamara, Head of Graduate Research Programmes DIT may have planted a seed in some delegates’ minds about returning to study. The highlight of the Forum came on the Friday afternoon session when several SEHO and EHO professionals presented a range of insightful case studies on such topics as volatile organic compounds, bathing water modelling and looking at an alternative route to enforce noise regulations, to name but a few. The majority of our speakers at the forum participated (some reluctantly) in making a short VT, by giving a short synopsis of their respective presentations with Chis Lodge on camera and Michael McAller on sound. These VT’s are available for all our members to view on the members section of our website. n EHOA | yearbook 10/11 17 ten11 primary course Pictured (L-R) Left: Members of the Hygiene Committee (L-R): Aishling Kenna, Jennifer Shorten, Margaret O’Meara, Noel Donnelly, Joanne Lorriman and Shane Keane. Right: Martin Higgins, CEO Safefood. Author: Jennifer Shorten Official Launch of the Primary Course in Food Safety and DVD Food Safety 4U Jennifer Shorten explains the advances in the new Primary Course in Food safety O n the 19th of November 2010, Mr Martin Higgins, CEO of SafeFood officially launched the revised EHOA Primary Course in Food Safety and our brand new DVD, Food Safety 4U. The EHOA Primary Course in Food Safety had been revised in 2007. However, the existing training video was not reviewed at that time and was therefore a priority project for the EHOA. A partnership was formed with Highfield Publication in the UK and a decision was made to produce a market leading, modern and up-to-date training DVD with Highfield. As part of the EHOA’s ongoing commitment to providing the most upto-date and pertinent information when it comes to food safety training, it was also decided to carry out another review of the Primary Course in Food Safety, in line with recent legislation changes, new focus areas for food safety and a desire to improve accessibility of the course for all. We also felt there was a need for training support material and the production of training handbooks, card games, posters and stickers was also undertaken. The new course, which now consists of ten sessions compared to the previous eight, will cover a broader range of subjects. An EHOA working group was formed to 18 EHOA | yearbook 10/11 look at all training aspects – a huge body of work was undertaken over the last year by a small number of volunteer members. Over time, the group separated into various projects – DVD, Plain English, Course review, FETAC, Training material (books, workbook, stickers, posters, handouts). All comments received from members and trainers alike since the launch of the last version have been addressed: ó Course now consists of 10 modules ó HACCP is addressed in 2 stages from delivery and storage (stage 1) to preparation, cooking and service (stage 2) ó Structural hygiene requirements are demonstrated by an interview with an EHOA member who is an SEHO in Dublin City ó Food Safety Law is a standalone section – detailed information is included regarding the various agencies involved in food safety and the action open to EHOs towards non compliance ó Allergens is covered in the section on food contamination The Tutor’s manual has been reviewed and there are some changes to the administration of the course. Session notes to the tutor on the primary course have also been reviewed – suggestions are made for particular areas the tutor is to emphasise. There are also handouts for use as a class exercise in various sessions of the course. Plain English The end of session questions and session summary sheets have been rewritten in Plain English by Margaret O’Meara, member of the Hygiene Education Committee. We have two versions of the summary sheets for use with different groups. Our next step is to seek accreditation by NALA - National Adult Literacy Agency. Interactivity Additional training exercises have been included for use by tutors – these include various handouts that have been provided by Highfield for use as ice breakers or re - invigorators and can be used to take a break from the Flash presentation. New Material We now also have a course book, course workbook, an induction level book, food safety posters and stickers and a food safety card game. Members, Private Trainers and guests were invited to the official launch, in the Victory Centre, Firhouse where we had a number of speakers and an informal reception during which members and trainers could meet and share training experiences. Martin Higgins informed the delegation of the importance of food safety training to the food industry and acknowledged the EHOA’s position at the forefront of hygiene training. n www.ehoa.ie HYGIENE ten11 Hygienic PVC Wall & Ceiling Cladding Equipment www.CommercialSinks.ie Single Sluice 600 x 600mm • Non-toxic • Chemical Resistant • No Unhygienic Grout Sink & Sluice Combined 1600 x 600mm • Easy to Maintain • Cost Effective • Powerwashable Large Range of Hand Basins For Free Estimate, Contact Enviroclad: Unit 57b, Hebron Industrial Estate Hebron Road, Kilkenny. Tel: +353 (0)56 775 2866 Fax: +353 (0)56 777 0955 Email: [email protected] Commercial Sinks Ltd Unit 18, Ashbourne Business Centre, Ashbourne, Co. Meath Ph: 01 8350269 Email: [email protected] www.enviroclad.com Enviroclad_1-4.indd 1 02/09/2009 16:16:38 Super Drain offer the following services: • Sewer Rodding & High Pressure Jetting • Electro-Mechanical Cleaning • Home Gutters & Down-Pipes • Odour Investigations & Camera Surveys • Grease Traps, Pump Stations, Septic Tanks, Cleaning and Installation • Fully Insured • Holder of Council Waste Permits • Disposal Certificates Issued • Group Buyer Discounts Negotiable • 24 hour Emergency Home Service Super Drain, 112 Elm Road, Western Industrial Estate, Co. Dublin Tel: 01 409 7070 (1800) 918 237 Email: [email protected] Web: www.superdrain.ie Registered in Ireland No. 272928 www.ehoa.ie Super Drain Ltd 112 Elm Road EHOA | yearbook 10/11 19 ten11 memorandum of understanding Author: Shane Keane, Chairperson Memorandum of Understanding A new memorandum of understanding sets out the framework of co-operation between the HSE and EHOA Pictured (L-R) Above: Martin Devine and Shane Keane. Below: Lisa Fitzpatrick, Shane Keane, Martin Devine, Maurice Mulcahy, Noel Donnelly. O n the 20th December 2010, a Memorandum of Understanding setting out a framework of cooperation between the Health Service Executive (HSE) and the Environmental Health Officers’ Association (EHOA) was signed. Mr Martin Devine, Assistant National Director, HSE and Mr Shane Keane, Chairperson, EHOA signed on behalf of the parties. The purpose of the Memorandum of 20 EHOA | yearbook 10/11 Understanding is to identify best methods and technologies for the promotion of environmental health, to share experience between the two parties and to combine strengths to best achieve objectives in a cost effective and efficient manner. The document outlines how the HSE and the EHOA jointly affirm their commitment, in the interest of serving the community to promote better environmental health status and to develop effective working relations so as to ensure relevant issues are focused on in an effective manner. Some of the key themes that fall within the scope of the Memorandum include: ó Mutual cooperation in developing education and information campaigns for improvements in environmental health. ó Promoting the importance and relevance of the interconnections between environment and health to quality of life issues, sense of place, health and well-being, social inclusion, economic development and sustainability. ó Development of specialised EH training programmes. ó Support and promote evidence-based research on EH issues. ó Promoting high standards of professional competence training, experience and qualification. ó Actively work towards the implementation of a National Environmental Health Action Plan (NEHAP). ó Promotion of sustainable environmental health practices within government/ industry/home environment, through collaboration with statutory and other agencies. ó Advocate for health improvement and highlight/raise awareness of environmental threats. ó Collaboration/partnership and developing common work programmes. ó Be proactive in identifying and developing strategies for emerging threats e.g. epidemics/pandemics, climate change. ó Promote sustainable development and Local Agenda 21. ó Progress environmental improvement at local level through community and like minded groups. ó Develop best practice through environmental health standards and guidance. ó Sponsorship of educational awards for good environmental health practices. ó The establishment of advisory/ consultative committees to assist both parties to deliver on their objectives. n The full Memorandum of Understanding document is available on the Members area of the EHOA website www.ehoa.ie www.ehoa.ie ten11 r i sk a ss e ss m e n t Author: Niamh Kelly Risk Assessment in Focus Niamh Kelly, EHO discusses our first annual Educational Event Pictured (L-R) (L- R) Caitriona Stack, Jennifer Shorten, Prof. Pennington, Lisa Fitzpatrick, Stephen Murphy. W e held our first, annual Educational Event on the 5th October, 2010 in Aviva Stadium, Dublin. This event was entitled ‘Risk Assessment in Focus’. Attendees were welcomed on the day by EHOA chairperson, Mr. Shane Keane, before enjoying a truly motivational and informative event. The keynote speaker was Professor Hugh Pennington, Emeritus Professor of Bacteriology at the University of Aberdeen, Scotland who chaired two public inquiries into E. coli 0157 outbreaks, in Scotland in 1996 and Wales in 2005. Following these enquiries, the Pennington Reports were published, both of which included many important recommendations of interest to EH professionals. EHOs were presented with a unique opportunity to gain an insight into the two enquiries, the learning outcomes from the outbreaks and how a repeat of these tragedies can be avoided. Professor Martin Cormican, Medical Microbiologist, National University of Ireland www.ehoa.ie Galway followed Professor Pennington with a presentation on ‘VTEC – An Irish Perspective’. E. coli 0157 and other verocytotoxigenic E. Coli (VTEC) continue to evolve as a serious public health issue and Professor Cormican provided attendees with an excellent overview of the current situation in Ireland. A lively question and answers session, chaired by Ms. Lisa Fitzpatrick, PRO EHOA, followed these talks. Mr. Denis Kiely of Industrial Management Systems gave an extremely well received presentation on ‘Risk Management – Principles and Guidelines’. The presentation focussed on the ISO 31000 document and explained how risk management is now a central theme of all food safety standards. Ms. Rita Maloney, A/PEHO, HSE West, Co. Clare and Professor Kris A. Willems, Associate Professor at K.U. Leuven gave a two-part presentation on their Europewide study entitled ‘VITAL: Impact of Viruses on Food Safety Risk Management’. An article on the VITAL project is presented in this Yearbook. The afternoon session was chaired by Ms. Caitriona Stack, Vice-Chairperson EHOA. EHOA members were offered an optional discussion tour on Aviva Stadium’s Healthy Stadia Initiative and environmental sustainability. Aviva Stadium was chosen in part by the EHOA due to its ethos on sustainability and its involvement in the Health Stadia initiative. There were morning and evening tours and both were oversubscribed, with extremely positive feedback received from members on the contents of the tour. The discussion tour covered such topics as Aviva Stadiums’ smoking policy, waste management strategy and traffic and transport initiatives. It was widely agreed by attendees that the day was both worthwhile and instructive and members are already looking forward to next Autumn’s EHOA Educational Event. n The four presentations referred to above are available to EHOA members on the website www.EHOA.ie. ESSENTIAL ADVICE FOR EVERYDAY LIFE Healthy eating and food safety For more information visit www.safefood.eu EHOA | yearbook 10/11 21 ten11 our role in student training Author: Emer McShea Our role in student training Emer McShea A/SEHO discusses new developments in the EHOA’s role in student training and development Pictured EHOA members participating in Professional Practice Assessment Training at DIT’s Learning, Teaching and Technology Centre. A s part of their degree programme, students of the BSc (Environmental Health) must carry out an approved term of professional practice. This includes the satisfactory completion of a Logbook/ Portfolio. This requirement has been in place for the last number of years. In 2010, DIT revised the Logbook/ Portfolio and this was circulated to EHOA members for comment and input. We expect that a revised Logbook/ Portfolio will be used by students who undetake their placements in 2011. We expect that the reviewed Logbook/Portfolio will be of greater assistance to students as they strive to achieve the maximum benefit from their professional practice and to demonstrate their skills, knowledge and competence. For graduates seeking employment outside of the HSE or abroad, the 22 EHOA | yearbook 10/11 portfolio has become very important to prospective employers and professional or certification bodies who assess the graduates. We hope that the new portfolio will allow students to demonstrate their levels of achievements. In early 2010, a sub-group of the Educational Committee (i.e., Aoife Merriman and Emer McShea) reviewed the EHOA’s role and procedures in relation to student training. Based on this review, they presented a document to the Examination and Education Committee entitled, “Issues with Student Placements, Logbooks and Interviews”. From this document, it became clear that there was an opportunity for those involved in professional practice to offer greater definition of each party’s role. The organisations who have been involved in professional practice are the EHOA, HSE and DIT. The EHOA’s role in student training was subsequently described by the Educational Committee as follows: 1.To provide (subject to resources and availability) a group of members who will participate in the marking of professional practice logbooks and the interviewing of students in respect of the professional practice component of the course. This role is dependent on mutually acceptable arrangements being in place for this purpose. 2.To participate in the DIT Advisory Sub-Committee on the B.Sc. Environmental Health course. 3.To advise DIT, as appropriate, on matters that may arise in the EHOA’s other areas of interest, or from their dealings with national and international organisations. From the sub groups review, it was also clear that members who participate in the correction and interview process require training in order to ensure that we protect the interests of the Association and can ensure the highest standard of professional service to the students. A training module was subsequently designed by DIT’s Learning, Teaching and Technology Centre (LTTC) in conjunction with EHOA (where EHOA specified the learning objectives required by its members). This course was delivered by LTTC to 12 EHOA members in January 2011. The first part of the training (presented by Martina Crehan, from the LTTC) focused on assessing learning in the practice placement and understanding the purpose of and techniques to use during the interview process. The second part of the training (presented by Sara Boyd, EH Lecturer) dealt with the importance of the Logbook/Portfolio, including the issues, styles and learning outcomes in the Logbook/Portfolio. Barbara Delaney ended the training with a presentation on the assignment and the marking schemes applied to the Logbook/Portfolio, Assignment and Interviews. Barbara also spoke to the group about the importance of the Feedback session to students about their overall performance, as demonstrated by them in their Logbook/Portfolio and during their Interview. Each member was awarded with a Certificate from DIT LTTC confirming attendance at the training seminar on Assessing Professional Practice Portfolios. Members reported that they found this training to be extremely beneficial with regards to the Logbook/Portfolio corrections and techniques to use while conducting the oral interviews with the students. The Logbook/Portfolio corrections and the oral interviews took place on 25th and 26th January 2011 in DIT. Thank you to DIT and to all members who took part in this process. n www.ehoa.ie ten11 Launch of the yearbook Members of the EHOA Yearbook 2010/2011 Editorial Committee and the PRO EHOA. (L-R): Kay O’Connor, Damien Lynch, Padraic Gorby, Lorraine Dowling Editor and Andrew Byrne (not pictured - Sarah Duffy), with Lisa Fitzpatrick PRO, EHOA. Author: Lisa Fitzpatrick Launch of the yearbook 09/10 Well done to all involved in producing our yearbook 09/10 M embers, associate members, fellows and guests gathered at HQ, Haughty House, Bray, County Wicklow to celebrate the launch of the 2009-2010 yearbook publication on 13th March, 2010. Chairman, Shane Keane officiated and the publication was officially launched by Senator Niall Ó Brolcháin. Speaking at the launch, Senator Niall Ó Brolcháin commented: “I am pleased to launch the Environmental Health Officer’s Association Yearbook 2009-2010, as it is a major source of information to professionals in the field of Environmental Health and, indeed, to everyone with an interest in Environmental Health. Not only does it contain useful reference material, there are also a number of informative articles on issues which are very relevant in today’s world” Particular praise and thanks were directed to Marie McCarthy, Editor of the yearbook on the creation of such an excellent, relevant publication. After three years at the helm of the editorial team, Marie stood down following the publication of the 2009-2010 yearbook. n Pictured (clockwise from top) Senator Niall O Brolchain, Stephen Pearson (Zahra Publishing) Marie McCarthy Editor for 2009/2010 yearbook, Ann Pyle (Zahra Publishing), Lorraine Dowling incoming Editor. Fiona Toolan, Lisa Fitzpatrick, Stephen Murphy, Jennifer Shorten, Marie McCarthy. Maurice Mulcahy, Sheila Ryan, Maria Wood, Philip Ruttledge. Dorothy Guina-Dornan, AnnMarie Part, Ray Ellard, Steve Konkel (DIT). www.ehoa.ie EHOA | yearbook 10/11 23 ten11 w o r l d c o n g r e ss 11th World Congress on Environmental Health Shane Keane, Chairperson, reports from the 11 World Congress on Environmental Health in Vancouver, Canada T he 11th World Congress on Environmental Health, organised by the International Federation of Environmental Health (IFEH), together with the Canadian Institute of Public Health Inspectors (CIPHI) was held in Vancouver, BC, Canada between September 5th – 10th 2010. The theme of the Congress was ‘Global Health Protection From Sea to Sky’, which provided a broad platform from which the universal challenges to environmental health in an era of increasing globalisation were discussed, with a focus on the following areas: ó Food safety ó Promotion of active living & healthy communities ó Sustainable communities & environments ó (Air quality, water quality, and climate change) ó Disaster preparedness and emergency response ó Occupational health, risk and injury prevention ó Uniformed Services Health Protection ó Indigenous Peoples’ Environmental Health ó Environmental health management ó Core Competencies for Environmental Public Health Professionals Representing the EHOA were Shane Keane, Chairperson, Stephen Murphy, Treasurer, Ann Louise Grant and Aoife Merriman, Members. The Congress afforded us an opportunity to meet with colleagues from around the world. It was some comfort to see that we share many similar challenges with these colleagues when it comes to our work and the operation of and management of our Association. The congress papers can be downloaded from the IFEH website www. ifeh.org A Council meeting and the AGM of the IFEH was held prior to the Congress and our IFEH delegates, Ray Ellard (Secretary, IFEH) and Martin Fitzpatrick represented the EHOA at these events. n Cooking up a storm in Canada Aoife Merriman reports from the IFEH 11th World Congress on Environmental Health, where she bonded with international EHOs A s part of the IFEH 11th World Congress on Environmental Health, five technical tour options were available to delegates attending the congress. The “Vancouver Convention Centre Sustainable Design and Kitchen tour” appealed to me as I am a Food Control Officer working in Dun Laoghaire and the tour covered a massive 7000 square feet of kitchen facilities (every Environmental Health Officers dream/ nightmare), plus the unique ethos of the centre, which aims to be as self sufficient and sustainable as it could be sparked my interest. The facility included a living roof, seawater heating and cooling system and an on-site water treatment plant, which was all explained to us in detail by different 24 EHOA | yearbook 10/11 members of staff, who were involved with each area. The magnitude and scale of the convention centre was overwhelming and its conversion into the International Broadcast Centre and Main Press Centre to house the world’s media during the 2010 Olympics and Paralympics Winter Games was ideal. The kitchen provided meals for nearly 10,000 journalists during the Olympics and was operating 24 hours a day as the media broadcasted 24/7 to the entire world. The Executive Chef, Blair Rasmussen bravely brought the eager group of Environmental Health Officers around the kitchen facilities in the East and West building and readily answered all our questions regarding the operation of this massive kitchen facility. The amazing surroundings and the technical wonder of this centre was overwhelming, yet the most photographed area of the convention centre was a white board in the main kitchen on which was written in red ink: “DO NOT PUT ANYTHING IN FRONT OF THIS SINK AS PER HEALTH INSPECTOR”. The giggles, bonding and photo opportunities that ensued in front of this white board made me realise that even with the many different nationalities and languages spoken by the Environmental Health Officers present for the 2010 World congress, we were all the same. This was a memorable and enjoyable moment that will always bring a smile to my face. n www.ehoa.ie ten11 w o r l d c o n g r e ss Making Whistler more sustainable Ann Louise Grant EHO took a trip on the Sea-to-Sky Highway to Whistler T here were no lie-ins for those who chose to take part in a tour to Whistler, during the IFEH 11th World Congress on Environmental Health. The bus left Vancouver at 7.30 am and headed north through Stanley Park and on, to the Sea-to-Sky Highway. We were on our way to Whistler. Stop number one was to an interpretative centre in Whistler, where we listened to a talk about the programme for sustainability, which had been undertaken by the Municipality of Whistler. Tourism is Whistlers’s main source of income. Primarily, it is a winter ski resort. In order to expand the tourist season, summer sports such as mountain biking and hill walking are now being promoted. The influx of tourists to the area means that keeping the area’s programme for sustainability on track is challenging. Water usage is the biggest challenge as it is always in high demand to service showers, hot tubs and for other general usage. The plan is for Whistler to move towards a zero waste society. Again, the challenge is to educate the visitors on the local initiatives in place in the business in the area.. The next stop on the tour was the wastewater treatment plant. This was another initiative that forms part of the sustainability programme. Large investment, to the tune of $51.5 million, led to the upgrading of the facility including: using microbes instead of chemicals; using UV light to reduce chlorine usage; using aeration to minimise odours; and, after treatment, using the temperature of the treated water as an energy source to heat homes. The final stop on the tour was to the Olympic village, which was home to the athletes during the Winter Olympic games 2010. The village was built with the view to using it for affordable housing for local Metro Vancouver’s Water Treatment Supply Stephen Murphy SEHO learnt about the Metro Vancouver Water Treatment Supply and the construction of the new water supply and treatment facilities M etro Vancouver (MV) serves a large population (2.3 million and growing). Metro Vancouver’s drinking water comes from reservoirs in three watersheds – Capilano, Seymour and Coquitlam. The Seymour and Capilano watersheds typically supply up to 70 percent of Greater Vancouver’s drinking water. In 2003, MV began constructing new water supply and treatment facilities and these include: the Seymour-Capilano Filtration Plant, the Twin Tunnels (to be completed by 2013) and the Energy Recovery Facility (to be completed in 2012). www.ehoa.ie The Seymour-Capilano Filtration Plant, the largest of its kind in the whole of North America has improved MV’s drinking water by removing turbidity and micro-organisms and by reducing the amount of chlorine required to maintain water quality. In order to treat water from both sources at one plant, water will be conveyed between Capilano and Seymour through underground twin tunnels. When completed in 2013, the twin tunnels will transfer up to 1,250 million litres of treated water each day back to Capilano for distribution throughout Metro Vancouver. residents after the games had come to a close. All the houses were built with green technologies and sustainability in mind. The village was built next to the area’s municipal landfill, which was closed ahead of schedule to allow the building to go ahead. When we visited, the plan for the landfill was to use it as playground for the children who would live across the road in the Olympic village. Measures were in place to make the area suitable for use. n The plant design itself is largely conventional. Water from the two reservoirs enters a rapid-mix head works, where coagulant is added. From here it enters flocculation basins and is subjected to a slow mix process. The subsequent direct filtration phase uses a 2m deep filter dual-media bed consisting of anthracite and sand and from here the filtered water enters the UV disinfection unit, which is the largest UV disinfection facility in the world. Flowing into treated water storage clear-wells, the pH is then adjusted before the water enters the Capilano and Seymour distribution networks. Whereas, UV treatment is the primary disinfection method, secondary chlorination will remain a feature, to guarantee the safety of the potable water travelling through the municipal distribution systems. The single unique aspect of this project is that its two feeder watersheds are permanently closed to all human activity. This closed watershed policy provides a barrier against water contamination from human sources.n EHOA | yearbook 10/11 25 ten11 viva aviva Sean Mrozek Environmental Health Officer introduces some of the environmentally friendly features of the new Aviva Stadium Author: xxxxx Viva Aviva! Author: Sean Mrozek F ew things bring a tear to my eye, but as I stood overlooking the pitch from the Presidential box in the new Aviva Stadium (or, as it was formerly known in Dublinese, Landsdow-in), a sense of pride swelled inside my chest and a tear hung on the corner of my eye. Thankfully, after a moment I got a grip and sucked it back into a tear duct. No new age man blubbering here, this is where men risk life and limb for the glory of Irish rugby and soccer, a place where bones crack and sinews snap. I stood in awe of a sporting and environmental achievement, a new age had arrived for player and punter. The new Aviva Stadium is not just a stadium; it’s a work of art. It is Bauhaus meets the beautiful game, or Salvador Dali meeting Dunphy, take your pick it’s beautiful. The green seats from the stands merge with the pitch in a universal oneness that would leave even the Dali Lama in a state of envy. The north end opens onto the city and skyscape and although this condition was imposed to prevent the local housing 26 EHOA | yearbook 10/11 from being dwarfed by the stadium, it works as a happy coincidence that it allows the city and arena to merge, from the view point of the spectator. Maybe this is not the case for those in the upper tiers, where the roof structure dips, but that’s what you get when you win tickets in a one euro gamble at the local GAA raffle in Ballypooreen. The green, green grass of home… Then there is the pitch itself, the focus of conflict and delight, rapture and despair. Light pours across the freshly seeded pitch, which contains some of the original soil from the old pitch, thus fertilising it with the history of past victories and memories of the greats who once thrilled us and still do … Giles, The Keanos, Houghton, McGrath, O’Driscoll, Ollie Campbell and Ward etc. the legends list goes on. It’s overwhelmingly green in colour, with a thick mantle of spring grass and also ‘green’ in terms of its environmentally friendly function. This was thought out and full credit to the design team; at a time when nothing seems right in this country, someone got it right. Imagine a time in the future when global warming leaves the Phoenix Park looking like the Serengeti after a sevenyear drought and littered with the ribs of dead deer. Meanwhile, the groundsman of the Aviva is on holiday in Spain, lying on an inflatable duck in the hotel swimming pool, sipping a piña-colada. Suddenly, he realises that the pitch needs watering! Does he head for the airport in his dripping wet Speedos to pay his budget airline an extra €300 to change his flight instead of the one euro he had paid to get there and back in the first place? (Hoping against hope he can get back in time to turn the sprinkler system’s master tap on before the noon day sun frazzles the pitch to dust like Dracula when hit by the early morning sun!) No he does not! No need for panic, the groundsman simply sends a text message from his phone to a computer in the stadium and the in-built sprinkler system automatically springs into life, delivering www.ehoa.ie ten11 viva aviva the perfect soaking to the pitch. The pitch is saved and visiting teams can only drop their jaws in envy as they think of playing in their own dustbowl Stadia back home. No mouthfuls of grit and dust for our Rugby lads when they touch down for a try, just a smooth, continuous slide on the green velvet of luscious grass, a true body surfing experience for the saviour of Irish pride. In addition, the water used to quench this green pasture’s thirst is harvested from the roof of the east side of the stadium and stored for just that purpose. Power in the darkness! There are four diesel generators on the roof that provide power. These are insulated so that the heat recovered can be used to heat the water used in the building. Solar power panels would have required extra steel support and cancelled the green benefit because of the high carbon footprint of steel. In ten years time, solar panel technology will probably be totally changed and may be an option then. The stadium of light It truly is a stadium of light. The glass louvers of the outside structure reflect the sky colour, thus blending the structure into the landscape, so it is less intrusive. Each flood light is computerised to give an exact focus of light onto the pitch, so the spread of light is even and provides 2000 lux with a light leakage of only 20 lux from the stadium, so the local birdlife and neighbours can still have a decent night’s sleep, with the minimum of light pollution. Planes, trains and automobiles? If you want some exercise yourself, you can cycle to the stadium and there is a designated area where you can park your bike or alternatively, use the DART or bus. Colour-coded tickets tell you which DART stop is the best route for you and your green-clad mates to disembark at, so you can get to the entry point closest to where your seats are. You can sip a beer when you enter the Stadium as a pre-match aperitif as you anticipate another loss by the Irish soccer team against a mediocre team, or a logic defying destruction of the current world champions. Such are the foibles of our national team. www.ehoa.ie You won’t miss any action queuing for your beverage of choice or your hot dog as TV screens are everywhere showing the action (slight 2 second relay delay). Your waste plastic beer glass will be processed on site for recycling, as will any waste fluid and food (what exactly happens to the waste beer I’m not sure, but it is recycled!) If you wish, you can even see Senor Trappatoni in all his Armani splendour from behind a layer of protective glass on level 3, while others shiver in the stands. It’s as comfortable or as in the mix with the fans as you want it to be. Smoke does not get in your eyes! Now, if you want to indulge in a cigarette, No! No! No! You naughty thing. This is not allowed anywhere in the stadium, as the Aviva is part of the Healthy Stadiums Programme. The prestigious award was presented earlier this year to the stadium. The idea of the Healthy Stadium programme is that the stadium itself will inspire a healthy lifestyle choice by influencing its staff, the community and the spectators, by changing unhealthy habits and influencing diet and promoting exercise in order to fight the main causes of heart disease and obesity. The menu on match days offers some healthy options as well as traditional burgers and chips. Part of this initiative is a complete ban on smoking at sporting events. So, if you smoke, go stick on a nicotine patch, suck on nicotine gum but do not light up! Designated Tobacco Control teams in hi-viz jackets sweep the levels looking for signs such as circles of smoke over the head of a punter, or the red glow of a hidden cigarette concealed in a cupped hand. There’s no exit and come back in policy, so if you smoke, be prepared to do without and maybe think about your habit, what it is doing to you and quit for good. No smoking signs are everywhere as you enter the stadium and announcements over the P.A. deliver the no smoking policy in English and in the visiting team’s language. Let’s hope the concept and ideology of the Healthy Stadium programme and healthy lifestyles spread out from the Aviva through the immediate community, the city and the land. Let’s wish for many a sporting victory and a long healthy life for the punter and shout VIVA AVIVA! Olé, Olé, Olé! n EHOA | yearbook 10/11 27 TEN11 How did I get here? Author: Niall Roche How did I get here? Niall Roche, WASH/Environmental Health Specialist and Adjunct Lecturer in Global Health at Trinity College Dublin, charts his interesting career and explains why he has such a long job title T o begin, I should not only explain how I got here, but also why I have such a ridiculously long job title. As they say, it is a long story, but I’ve only got so many words, so let’s begin. It all began after I graduated from Cathal Brugha Street in 1988. After a few months packing carrots and onions, I managed to secure one of the few temporary jobs as an EHO in Dublin City. My work was primarily involved in local authority (housing standards mainly) and involved walking The Coombe, Rialto and Dolphins Barn areas of the south inner city. After three years and several pairs of shoes, I got the opportunity to join Concern as a volunteer for two years and to go somewhere with lots of sunshine. That place was Thailand, where another EHO, Angela O’Neill was already working to assist Cambodian refugees in water, 28 EHOA | yearbook 10/11 sanitation and hygiene services at two of seven camps along the Thai/Cambodian border. 1991 – 1994 The volunteer with Concern During the 18 months that I spent in Site 2 (a camp of 180,000 people) in Thailand, I began to learn the trade of aid. While there, I assisted largely to ensure that Khmer staff in the camps were supported to deliver basic environmental health services. This included the provision of latrines (one for every two families), household waste collection and disposal, vector control of rats and the mosquitoes (which are responsible for the transmission of dengue fever), plus all mass media health education for the entire camp. In addition, I took on responsibility for the delivery of repatriation information to inform those returning to Cambodia of what they could expect upon return there, in some cases after 14 years as a refugee. Approximately half of the refugees returning were actually born in the camps. Naturally enough, I moved to Cambodia itself when all the refugees repatriated in advance of democratic elections in Cambodia in early 1993. Once I crossed the border into Cambodia, all the modern comforts of life in Thailand were gone and replaced by one long sweat! I stayed 14 months, during which time I assisted returnees mainly in the provision of safe water, through the construction of hand-dug shallow wells in rural villages and chemical vector control by thermal fogging to control dengue fever, a major cause of death of www.ehoa.ie TEN11 tEN11 How did I get here? children under five years old. At a broader level, we set up a Health Information and Promotion Office to assist the provincial Ministry of Health in Banteay Meanchey in the provision of wider health education. This included some of the first attempts to inform Khmer people about HIV and AIDS, an emerging threat in a newly opened up country. While Cathal Brugha Street had not exactly prepared me for the delivery of public health in the tropics, at least I had the principles and could learn from my local Khmer and international colleagues, not only within Concern, but those in other Non-Governmental Organisations (NGOs) and UN agencies. From there, I ended up in one of the largest humanitarian crises in living memory, getting posted to a place called Ngara in Kagera Region of Tanzania to assist in the control of flies, waste management and a host of other jobs including food distribution, public works and camp management (when others went to Kenya on rest and recuperation) in camps hosting Rwandan refugees, following the genocide of up to a million people. While waste management did not require that much attention (people with nothing tend to produce little in the way of waste), the bigger challenge was the control of flies emanating from the communal, and later, from family www.ehoa.ie pit latrines provided by other Water and Sanitation agencies. The challenge was directly linked to the diseaseburden, with diarrhoeal diseases such as dysentery accounting for the majority of deaths in the camps. With others refusing to invest in the infrastructural improvement of latrines by converting them to Ventilated Improved Pit (VIP) latrines, it was left to us to control flies by chemical means. Unfortunately, the lack of expertise amongst all agencies in vector control was, in my opinion, a serious problem and led to an unacceptable situation in those first six to eight months. One of the jobs I was glad to avoid at the time was the removal and management of dead bodies coming down the river into Tanzania at a place called Rusumo Falls. As a “sanitarian”, it is a job that naturally falls within the remit of an Environmental Health person. In April 1994, when the crisis began, I did not speak French (a useful language to possess in that region) and I did not get transferred from Cambodia until July. It was said that at the time, up to 5,000 bodies a day were said to be in need of dealing with. I was also lucky to avoid the Cholera outbreak in Goma, Zaire (now DRC) at the time of my arrival when in excess of 45,000 people died in a three week period; over 90% of " I ended up in one of the largest humanitarian crises in living memory, getting posted to a place called Ngara, in Tanzania whom died outside a health facility. One can only imagine the scene facing aid workers in Goma on the western side of the Rwandan border at that time when I was on the eastern side. After more than three years, experience in three countries and a few months of reflection on the dole at home, I determined that I no longer wished to go back to Environmental Health in Ireland, but wished to pursue a career in public health as it relates to developing countries. To progress I needed further qualifications. Pictured (From left-right) Thermal fogging to control dengue fever, Thailand, 1992. Restoring water supplies in earthquake affected villages, Takhar Province, Afghanistan, 1998. Making latrines in Cambodia 1993. EHOA | yearbook 10/11 29 TEN11 How did I get here? 1995 – 1999 The transition to career aid worker Before pursuing further studies, I needed money. $65 - $90 US dollars a month as a volunteer allowance with Concern didn’t stretch far, so I was fortunate to get a posting (or mission as they say) with the Belgian section of MSF (Medecins Sans Frontieres) in the Somali region of Ethiopia for one year. It wasn’t very environmental health-focused but it was a medically focused NGO (NonGovernmental Organisation) and a different type of experience. Essentially, the programme supported the regional Ministry of Health in running the regional hospital and 14 rural health centres within a 100 km radius of the hospital. My primary role was logistics in support of the construction of three new clinics, several hospital buildings, including a kitchen and TB ward, plus management of non-medical stores, as well as oversight of vehicle maintenance. By the end, I at least knew at which end of a Toyota Landcruiser the engine was situated! With enough money saved (there was nothing to spend money on in Jijiga!) and a wealth of experience playing scrabble, I went to Manchester and studied for a Masters in Public Health and Health Promotion. Upon completion and return home, I was fortunate to get a call from Trocaire 30 EHOA | yearbook 10/11 and was hired to respond to a flood and malaria epidemic at a place called Bulla Xawa, Gedo Region, Somalia, which is situated next to Mandera in northern Kenya. A key part of the response was the organisation of a campaign of indoor residual spraying in every household in Bulla Xawa, to try to control the adult population of the anopheles mosquito, which is responsible for the transmission of malaria. Luckily, we had access to a telephone and technical advice could be gathered from a grouping called the Malaria Consortium within the London School of Hygiene and Tropical Medicine. After the heat and dust of Somalia, I saw news reports of an earthquake in snowy Afghanistan and the scene looked very different to Somalia and somewhat appealing. Somehow, I ended up rejoining Concern in March 1998 to assess the environmental health situation in northern Afghanistan following that earthquake, in which 15 villages were destroyed. I ended up staying for nine months, during which time I was primarily involved in the provision of earthquake resistant shelters following a second earthquake of 6.9 or 7.0 on the Richter scale. In many respects, Afghanistan was the toughest of assignments and I’m not just referring to the fact that I survived the weird experience of being close to the epicentre of an earthquake that " I ended up evacuating with my colleague, in quite dramatic circumstances, on a bamboo raft, close to the front line killed up to 20,000 people, nor am I referring to the aftermath of trying to launch an emergency relief response in a remote location, with little in the way of resources and access by donkey the best way to get around in many cases. Apart from the relatively minor troubles of nearly slipping off a mountain while trying to view the source of a spring, getting kicked by a horse I had chosen to ride on a rare piece of time off, the isolation of having next to no contact with women for the best part of nine months, and being prevented from leaving a village by armed representatives of that village commander, two incidents will stay with me for a very long time. The first happened in late May 1998, about a week before the earthquake, when I made the painfully long journey (up to 13 hours in a jeep if it rained) to www.ehoa.ie TEN11 How did I get here? the provincial capital of Taloqan in order to get some basic supplies. While there, I was fortunate to have left the main market just 10 minutes before a bomb was dropped, killing 58 and wounding 48. The story was that the Taliban were trying to target (very badly as it happens) a meeting of senior generals in the Northern Alliance that was said to be taking place in Taloqan that day. The second incident involved getting trapped in Rustaq, the small town I was living in after Taloqan eventually fell to the Taliban a few months later. It occurred because I failed to be decisive in evacuating on time. As a consequence, I ended up evacuating with my colleague in quite dramatic circumstances, on a bamboo raft close to the front line and into Tajikistan, whose border at that time was controlled by the Russians. From the frying pan of Afghanistan, into the fire that was southern Sudan (soon to be an independent country). My role was programme co-ordinator based in Lokichokio, Kenya, supporting Concern’s response to a famine in several counties of southern Sudan. Southern Sudan at that time was extremely tough for aid workers based there, access was only possible by plane to some very dodgy airstrips. Landing or taking off with cattle on the airstrip was not uncommon. 1999 - 2005 The Ireland-based career aid worker To her son, an aid worker in his early 30s, my mother often asked, “when are you going to settle down and get a real job”. As it happens, I met my wife (a fellow Dubliner) in southern Sudan in 1999 and decided that I wanted to settle down a bit. Fortunately, I managed to get the job I wanted, to work with Concern and act as their adviser on all matters environmental health. Environmental health for Concern was defined as issues related to hygiene promotion, excreta disposal, water supply, waste management, vector control, shelter and settlement planning and control of pollution, with an emphasis on indoor air pollution. In addition, I had the opportunity to be on the Rapid Deployment Unit (RDU) and to travel to several emergencies to work in establishing the response. It was an interesting time to be in the RDU, as I got to go to Kosovo (after the NATO bombing), Turkey (following www.ehoa.ie an earthquake), Orissa State, India (following a super-cyclone), Mozambique (following floods), Gujarat, India (after an earthquake), the DRC (following a volcanic eruption), Pakistan (following 9/11) and an assessment in northern Iraq prior to the war in 2003. As time went on, I ended up supporting more countries working in non-emergency contexts, often referred to as in transition or development. For example, in this regard, I made frequent visits to Tanzania and Liberia, during which time I would often be gone for two to four weeks, five or six times a year. 2005 – Present The Consultant In April 2005, despite having a well paid, permanent and pensionable job in Concern, I decided to give it all up and took the plunge to become an environmental health consultant with respect to developing countries, in addition to being a house husband to a wife and two small children. My clients are numerous and include several academic and training institutions (TCD, UCD, RCSI, University of Copenhagen, Dtalk at Kimmage Development Studies Centre and the UN Training School in Ireland at the Curragh) in addition to Irish Aid (the Overseas Development Aid wing of the Department of Foreign Affairs), UN organisations such as UNICEF and NGOs (Oxfam GB and my old employer, Concern). Teaching environmental health/public health and conducting evaluations is the bulk of my activity. My last field trip in November/December 2010 saw me spend two weeks in Tajikistan evaluating a public health/ WASH (Water, Sanitation and Hygiene) project for a Danish based NGO. The long job title is partly explained by the fact that, in many developing countries, our profession is sought in the area of WASH and few understand the term Environmental Health. I maintain reference to environmental health partly because I am stubborn and proud of my profession, but also to try to capture the fact that environmental health goes beyond WASH and can examine issues such as indoor air pollution from cooking fires, which causes a very significant burden of disease in developing countries. One aspect of my work that I am most proud of is an environmental health module I run on the Masters in Global Health at Trinity College. This, alongside a module on Climate Change and Health and contributions to other modules and thesis supervision justifies the other part of the title “Adjunct Lecturer in Global Health”. Conclusion In conclusion the “auld” career so far has, for the most part, been rewarding and varied. To some extent, it is baffling that one does not meet more people of an environmental health background in this area of global health. To say environmental health people are needed is an understatement. Unfortunately, many people in emergency relief and development don’t understand the value that environmental health people bring to developing countries, nor does the profession sufficiently engage donors, UN agencies and NGOs to demand a more meaningful role in promoting and protecting the lives of the most vulnerable in our global community. n Pictured Opposite page: (Left) Monitoring the emergency response in Haiti, June 2010. (Above right) Supplying water to earthquake affected people, Azad Jammu and Kashmir, Pakistan, January 2006. Below right: near Siem Reap, Cambodia, 1993 This page: (Left) Afghan refugees arrive in Balochistan Province, Pakistan, October 2001. (Right) Meeting rural communities in western Nepal, July 2007. EHOA | yearbook 10/11 31 TEN11 Life on the frontline Author: Angela O’Neill De Guilio Life on the frontline of health and hygiene Angela O’Neill De Guilio, Regional Director, Concern shares her experiences as an environmental health officer in some of the most challenging environments on earth Pictured: Hawa Endrie, TemsasVillage, Wollo, Ethiopia. Photographer: Petterick Wiggers R eflecting upon my career todate, I realise that it all started a little unconventionally. At the time that I graduated, the expectation was that if you were lucky, a temporary Environmental Health Officer position in one of the health boards might be attainable and a future permanent appointment would follow at some point. However, temporary posts were few and far between and therefore, many of my classmates went to the UK and were employed in a variety of environmental health posts. Their experiences seemed very exotic indeed and their varied work situations seemed very different to Ireland at the time. Undoubtedly, I would have been in the UK too, if it was not for an opportunity 32 EHOA | yearbook 10/11 with Stewart’s Hospital in Palmerstown, who created a new position, that of a health and hygiene advisor. The management team wanted to see how the role might develop and consequently, there was scope for innovation. It was an interesting role that involved assessing the current situation in an in-depth manner, much like a health, hygiene and safety auditing process. Following my analysis, I then reported to management and discussed with them how recommendations could be implemented and work practices adapted or changed. This early experience of working within a community to analyse risks and provide technical input to enhance health and hygiene standards in a consultative and participatory manner, led me to develop an interest in understanding how adults learn and in community development approaches. This post also gave me some early experience of trying to influence management and present the business case for environmental health. During this time, I undertook a post-graduate course in adult and community education, thinking that my career might be in health education. I was lucky to have experienced the challenge of defining my own job, for looking at new ways of doing things and of engaging with people to ensure that health, hygiene and safety were internalised in an organisation’s culture, rather than being monitored www.ehoa.ie TEN11 Life on the frontline by a set of rules and regulations. Following a brief stint as an Environmental Health Officer in Dublin City’s food hygiene unit, I began to realise that my unconventional beginning had given me a desire to do something different. I couldn’t have articulated what I was looking for at the time, but when I saw an advertisement for a post in environmental health on the Thai-Cambodian border with Concern Worldwide, I knew instantly that this was the opportunity I was seeking. I set off on my assignment to Thailand, having first looked at an atlas to ascertain where Thailand was located! I was assigned to work in a refugee camp of over 150,000 Cambodian refugees, all of whom lived within a few square kilometers. Concern was responsible for sanitation, vector control, water supplies and health education for the camp population. It was like working for the local authority of a small city, managing provision of services in rather basic conditions: bamboo and thatch housing, dirt roads, ventilated pit latrines, and no running water or electricity. I cannot articulate my initial feelings upon arrival in ‘Site 2’ as it was called, other than that I felt an overwhelming sense of, “What on earth have I to offer, with my extensive knowledge of the Irish food hygiene regulations?” Luckily, I was working with a very competent team of Thai sanitarians and Cambodian staff who had been managing services to the camp population for some considerable time. However, one month into my assignment (while all our experienced sanitarians were on Pictured: Well built by Concern and maintained by the community in Mayira village, Tonkolili District, Sierra Leone. Photo: Concern Worldwide, 2009 www.ehoa.ie holiday) a cholera epidemic broke out in the camp and I was asked to co-ordinate Concern’s response. As the sanitation, water supplies and health education service provider, Concern’s response was of significant importance. The learning curve during those three weeks during which I worked non-stop to contain the epidemic was one of the steepest that I have ever ascended. I held daily meetings with the United Nation’s health team; communicated with staff; had an input into the design of a cholera centre and waste management systems, water supply management; and I was involved with developing health education messaging strategies, not to mention trying to convince health workers of the futility of chlorine disinfection of mud floors. And these were just a few of the tasks required. After such an exciting start, I slowly began to understand how the camp worked, where there were no health or hygiene regulations to enforce and where diseases that I had only ever read about were common place – malaria, dengue haemorrhagic fever, dysentery and other diarrhoeal diseases to name but a few. The camp population existed in a complex, on-going emergency context, without freedom to come or go, not knowing if or when, they might be able to return to their own country, and dependent on external aid for the basic essentials of life – food, water and shelter. What I learnt there over the course of the next three and a half years was the importance of recognising the capacities of local people, the need to understand the culture and beliefs, to understand the needs of the refugees, the differing roles and needs of men and women and the key influencers and decision makers in the community. Epidemiological data was available to inform programming decisions, but to design effective interventions, I had to understand the critical element of what motivated people to change behaviour, the barriers that existed to accessing information and services and making changes. My next assignment was to Africa, in the aftermath of the Rwandan genocide. I worked in more refugee and displaced persons camps, on various borders. By this time, I was in a managerial position, responsible for ensuring that effective Pictured: Angela O’Neill De Guilio programmes were established as quickly as possible. I saw firsthand the environmental impact that is made upon areas where large-scale displaced populations have to forage for firewood on a daily basis. I came to understand the health impacts of overcrowded refugee camps, where mostly rural families had to adapt to living in quasi-cities. All of these factors needed to be considered in the design of interventions. I subsequently worked in the Caucasus and the Balkans, working with both internally displaced persons and local people who had been affected by conflict. Preventative health care was almost unheard of as an approach, so engaging with communities in the aftermath of conflict and displacement where curative health care services no longer existed to levels previously provided was challenging. People were used to safe water supplies, sanitation and adequate health care. In order to make any positive impact, I had to learn about people’s needs and priorities, understand the complex social, cultural and economic dynamics and choices people have to make and then, design programmes that met the felt needs and priorities of the given community. Some of the greatest challenges involved educating people about the need to boil water, when they did not have adequate fuel to heat their communal living spaces; promoting hand-washing EHOA | yearbook 10/11 33 TEN11 Life on the frontline Pictured: Children at a Concern ‘bladder’ in Boliman Brant IDP camp. Photographer: Kim Haughton when soap was a luxury; and advocating safe disposal of rubbish to people who lived in overcrowded communal school buildings where there was barely a curtain between one family and the next and no service provision. Throughout my international work to-date, my training in environmental health has acted as an important backdrop to the poverty agenda. As is well documented, poor people suffer more ill health; they have less access to services, they are more vulnerable to risks and hazards, they have to engage in more risky behaviours to survive and have less choice and control over decisions affecting their lives. My insights into the factors affecting people’s health led to an interest and subsequent study of equality. Women and girls are disproportionately affected by poverty and ill health. We have seen a growing feminisation of poverty and yet we know that empowerment of women reduces child and maternal mortality, improves nutrition and promotes health, including the prevention of HIV and AIDS. Therefore, a vital part of my work is ensuring that the work we are doing is empowering women. I now work in Concern’s headquarters in Dublin, as a Regional Director with responsibility for oversight of Concern’s work in five countries in southern and east Africa. A central focus of the work is to significantly improve the food 34 EHOA | yearbook 10/11 " Environmental health expertise is particularly sought after in emergency situations but also in public health and water and sanitation programmes in long-term development work security, nutrition security and health of extremely poor people both in emergency and longer-term development contexts. My work requires frequent travel to Africa to meet with the communities with whom we work, Concern staff, local partners, government officials and international donor agencies. The job involves a mixture of programme planning and appraisal for quality programmes, strategic planning with teams in-country, financial and human resource management, monitoring implementation and ensuring adherence to best practice, while remaining up-todate on the myriad political, social and economic dynamics at play globally and at country level. The challenges of working for poverty elimination in the world continue to become ever more complex. At present, some of the big issues exacerbating poverty include issues of climate change, population growth, increasing urbanisation and the current global economic and financial crisis. Reading this article, people may ask how it is possible to get involved in international development. Aid agencies require staff with significant experience, given the complexity of the environment and the imperative to ensure that international staff adds significant value. Gaining this experience is not easy, but there are a number of internship and trainee schemes that enable recent graduates to gain some experience. Increasingly, post-graduate qualifications are necessary to gain entry and for more senior roles, significant experience internationally is required. Environmental health expertise is particularly sought after in emergency situations, but also in public health and water and sanitation programmes in long-term development work. Additional knowledge and skills in areas such as community development, training and facilitation, monitoring and evaluation and behaviour change methodologies are very desirable. n For information on Concern Worldwide’s work please contact www.concern.net Pictured: After the Haiti Earthquake, piped water source provided to displaced population at Tabarre Issa resettlement site, Port-au-Prince, Haiti. Photo: Allison Shelley for Concern Worldwide, 2010. www.ehoa.ie TEN11 A Career less ordinary Author: John Fleming An environmental health career less ordinary John Fleming BSc (Environmental Health) MPH discusses a career that has taken him from wine tasting to war lords, to co-ordinating health programmes in Haiti A fter completing my studies in Cathal Brugha Street in 1984, I worked for two years as an Environmental Health Officer in Co. Kildare and then (with some reluctance) came back to Dublin City in early 1986. In October of that same year, I took a ‘leave of absence’ and emigrated to New Zealand, settling initially in Wellington, where I spent two years, and subsequently in Auckland, where I was employed by the then Department of Health as a Health Protection Officer. I thoroughly enjoyed New Zealand (still do) and the work that I did there was interesting and varied. One of the most interesting periods of my career in New www.ehoa.ie Zealand was the two years that I spent working in the Takapuna Office. At the time, this office had the responsibility to certify all New Zealand export wines, meaning that all wine exporters sent three bottles of their finest to us. One bottle would be sent for a formal tasting panel and one to the laboratory. The third bottle was kept as a reserve sample in the event that one of the first two, for whatever reason, failed. Seldom did a sample fail, which resulted in us having the finest wine collection in the field of environmental health (something we fully availed of). In 1987, a 100-year storm (Cyclone Bola) hit the Eastern Cape of the North Island and I was a member of the health response team from the Department. Most of the team were Environmental Health Officers and two had just come back from Red Cross deployments in Afghanistan and Uganda. I had the chance to discuss Red Cross with them and the work sounded really appealing, so I applied for a place on the New Zealand Red Cross roster. I had to wait three years before getting a place on the Basic Training Course (in August 1990), but thanks to events in Kuwait, I did not have to wait long for my first posting. In December, I was asked to go to Iraq as a Water & Sanitation Delegate to work in the north amongst the Kurds. EHOA | yearbook 10/11 35 TEN11 A Career less ordinary " The work I was doing was exactly what I had always imagined basic environmental health work to be From Iraq to Liberia The stint in Iraq was short (three months) and from a technical perspective, frustrating, since the weather was awful. Snowdrifts made it difficult to achieve anything tangible. I had been given some time off work and when I returned, I was quite anxious to be sent out again. I had my chance exactly one year later when I headed to Liberia. At that time, Liberia was in the midst of a bizarre civil war. Liberia was the real thing and there were pressing environmental health needs since the capital, Monrovia, was full of displaced people from the rest of the country. Those who had been displaced were running from the forces of Charles Taylor. The city’s water treatment plant had been bombed out of commission and there was a threat of diarrhoeal diseases, with a massive risk of significant casualties. Again, my focus was on water and sanitation as we had a big team digging shallow wells around the city, carrying out water trucking operations, constructing latrines and focusing on hygiene promotion activities. I found it a massive adrenaline rush as it was 36 EHOA | yearbook 10/11 a real life war situation and the work I was doing was exactly what I had always imagined basic environmental health work to be. Two years later, I quit my job as an Environmental Health Officer and have worked most of the last seventeen years as an aid worker with the Red Cross – my current posting, which I began in January is as the Health Coordinator for the Haiti Earthquake Operation. Utilising my training in Haiti Looking back at this time, I can honestly say that our training in environmental health presents us with some key advantages. In a world where the trend is for increased specialisation, there remains, within emergencies and development work, a demand for the jack-of-all-trades generalist who can simultaneously juggle competing priorities. Every day is different and there’s a constant uncertainty about what will be thrown at you. Our grounding in a variety of topics, ranging from communicable diseases to pest control and from microbiology to health education gives us a broad-brush advantage. A premium is placed on adaptability and generally, environmental health professionals are skilled adapters. Interpersonal skills are also important and I think that we as a group, and certainly the group that gathered in the Welcome Inn circa 1984, are adept at dealing with a variety of individuals. At the end of the day there’s only a very subtle difference in the technique used to calm a gun-toting warlord at a road checkpoint and a knife-wielding Ballaghadreen butcher. Haiti is by far the most complex operation that I have worked on. On top of the earthquake, we are dealing with a cholera crisis and political uncertainty is making travel and working in some areas occasionally dangerous. The rains will further complicate the situation, as will the unpredictable hurricane season, which begins in July. The main activity areas within the health programme are at the community level, with the focus on health education promoting hygienic practices, as well as an emphasis on the prevention of malaria, dengue, vaccine preventable diseases, diarrhoeal diseases, www.ehoa.ie TEN11 A Career less ordinary HIV & AIDS and maternal, newborn and child health. We also have a psychosocial support programme component addressing mental health needs in the camps, re-settlement sites and the general population and instructing communities in first aid. After the earthquake, the main focus of attention was on the treatment of the wounded through the deployment of emergency health units and this has been ramped up again with the flying in of selfsupporting cholera treatment centres. The pros and cons of aid work As for giving advice to EHOs regarding the pros and cons of aid work as a career choice, I would definitely recommend it to those who are interested in getting back to basic environmental health work. You have to have the flexibility to travel and be happy to spend long periods of time in uncomfortable situations. Working with multicultural teams is a big plus (we have over 200 international staff in this operation from all over the globe) and you get the satisfaction of contributing to something worthwhile. I have thoroughly enjoyed the opportunity and feel privileged to have been able to work in a variety of countries and usually, when something interesting is happening there, and to have been able to mix with and learn from the local population. The challenges that have manifested themselves now that I am of a certain age and have kids in school are precisely the aspects that drew me to the job in the first place, more particularly the lack of permanence and job security. It can be a hassle getting a family position, meaning that you may have to spend protracted periods away from your family. Contracts are usually for between six months and a year, although more senior positions are for up to two years, meaning that you have to relocate with some frequency. This is great at the beginning, but a bit tedious where schooling is concerned; although the kids do great in geography, history and languages. Environmental health qualifications can open a number of doors, especially in water and sanitation and public health positions. On the water and sanitation front, it’s usual that environmental health people work on the software or health and hygiene education side. www.ehoa.ie Pictured A member of the Red Cross on assignment in Haiti following the arthquake. To work in public health positions, experience and a Masters in public health or other advanced degrees would be useful, as are additional languages. Work experience and preferably work experience in the developing world, is a prerequisite. Open positions are advertised on the International Federation of the Red Cross & Red Crescent Societies (IFRC) website at www.ifrc.org, or you can approach your National Red Cross Society. Given the nature of the work, its more common to find openings after disasters. n Another site recommended for international aid positions is www.reliefweb.org. John Fleming BSc (Environmental Health) MPH was formerly Zone Health Co-ordinator for Southern Africa and now, is Health Co-ordinator Haiti Earthquake Operation for the International Federation of Red Cross and Red Crescent Societies (IFRC). EHOA | yearbook 10/11 37 TEN11 Human Bio-monitoring Author: Maurice Mulcahy and Dr Reinhard Joas Human Bio-Monitoring for Europe and Ireland – developing a harmonised approach Maurice Mulcahy, Regional Chief Environmental Health Officer, HSE –West. For the Cophes consortium: Reinhard Joas, Anke Joas and Ludwine Casteleyn, BiPRO GmbH, Germany and University of Leuven, Belgium, COPHES project leaders. For the DEMOCOPHES consortium: Ir. Pierre Biot and Ir Dominique Aerts, Federal Public Service Health, Food Chain Safety and Environment, Belgium DEMOCOPHES project leaders. A ccording to the European Public Health Alliance, ‘Human biomonitoring (HBM) is the key to integrating human health considerations into the environmental health policy decisionmaking and evaluation process. The Human Biomonitoring data opens the perspective of a health policy which takes into account geographical differences. The project (described below) also makes it possible to detect population groups with high levels of environmental exposure and lead to health strategies of better environmental equity’. (European public health alliance available at http://www.epha.org/a/2715) The measurement of chemical exposure has for a long time been confined to the analysis of air, water, soil or other environmental samples with extrapolations then made for human dose- exposure concentrations and attendant health consequences. Human biomonitoring (HBM) technology now offers the opportunity to calculate the actual concentrations of certain chemicals within the human body by using surrogates or biomarkers, extracted from body fluids/substances such as blood, urine, saliva or hair. The problem is that HBM activity in Europe has little been coordinated up to now, limiting the possibilities to compare results, to draw conclusions and be able to react. For this reason capacity is now being developed in a strategic 38 EHOA | yearbook 10/11 www.ehoa.ie TEN11 Human Bio-monitoring way across Europe to use human biomonitoring (HBM) as a tool through the Consortium to Perform Human biomonitoring on a European Scale (COPHES) and its sibling pilot project that will demonstrate methods across Europe, the so called DEMOCOPHES project ((DEMOnstration of a study to COordinate and Perform Human biomonitoring on a European Scale). Under the European Environment and Health Action Plan 2004-2010, European scientists and stakeholders from 35 institutions in 27 countries (including Ireland) have formed this Consortium (COPHES), funded by the European Community’s Seventh Framework Programme (FP/2007-2013), and 17 countries (including Ireland) will implement the pilot DEMOCOPHES study co-funded by the LIFE + financial instrument of the European Community. The Overall objective of the COPHES Project and of the DEMOCOPHES pilot study is to “test the hypothesis that HBM can be performed in a coherent and harmonised approach throughout Europe by means of commonly developed protocols, strategies and scientific tools ensuring reliable and comparable data, whilst also leading to a more effective use of resources”. More specifically it aims to : ó Gain practical knowledge of access to study populations, recruitment procedures and response rates ó Test the developed guidelines, protocols and technical procedures for field work, questionnaires, chemical analyses, data handling and processing ó Test ethical guidelines and gain experience on ethical rules, within the frame of social and legal aspects of the different Member States ó Receive practical information on, evaluate and improve overall performance of participating Member State units including the laboratories involved via an inter-laboratory comparison ó Collect HBM data from different European countries ó Obtain basic data (values) on selected biomarkers from all participating Member States. ó Obtain basic data on the distribution of specific biomarkers among defined/ selected study population strata/subgroups of the general population www.ehoa.ie ó Develop linkages of HBM values with environment and health indicators ó Assess the costs of the applied HBMprogramme, preferably including a concept to improve time and cost efficiency ó Develop practices and guidelines for effective communication and raise awareness for the wider public and policy makers ó Establish protocols for the translation of HBM results into policy recommendations For this purpose between September 2011 and the end of 2011 in Ireland and across partner countries, 120 mother and child pairs per country will be sampled for four chemicals in hair and urine. The chemicals that have been chosen are cadmium, cotinine (a metabolite of nicotine), mercury and phthalates. The mother and child pairs will be recruited from one urban and one rural location in each country. The recruits are to be boys and girls between the ages of 6-11, and their mothers who are to be age 45 or less. The sample sizes whilst not statistically representative will allow harmonised procedures and methodologies to be developed allowing comparability across States and will facilitate larger studies in the future no doubt across a larger range of chemicals. Capacity building in Ireland will include : ó An HBM framework ó Trained HBM units ó Bio-banking policies and crycryogenic storage facility arrangements for archived biological samples Key tasks include : ó Establishment of a National monitoring unit to oversee the project ó Preparation of a National study protocol based on the consensus protocol developed with COPHES. ó Recruitment and sample collection. ó Development of a quality assurance/ control programme between the various laboratories participating in the pilot study. ó Statistical analysis of the data. ó Obtaining ethical approval and parental consent ó Communication of the purpose of the study to the general public and subsequent communication of results to policy makers. " The Human Bio-monitoring data opens the perspective of a health policy that takes into account geographical differences Via participation in DEMOCOPHES training will be provide on key elements of the project including, enrolment procedures, chemical analysis for the chemical parameters selected (cadmium, cotinine, phthalates and mercury) in the matrices selected (urine and hair), statistical analysis, bio-banking and communication. Key partnerships will be developed throughout the life of the project within the HSE (Environmental Health, Public Health and Public Analyst Laboratory Services), within Ireland (with key stakeholders such as the Department of Health and Children, Environmental Protection Agency) and across Europe through the Consortium. In the USA similar HBM capacity is showing results, between 2001 and 2005 three Reports on Human Exposure to Environmental Chemicals have been published by the CDC. The first report of chemicals and metabolites in blood and urine of a representative sample of the U.S. civilian population included 27 chemicals, the second expanded to 116 and by the third, 148 chemicals were included. Certainly, it will be of interest to compare Europeans exposure to cadmium, cotinine, mercury and phthalates with that of those living in the USA. n EHOA | yearbook 10/11 39 TEN11 B a t h i n g w a t e r r e g u la t i o n s New Bathing Water Regulations - A Computer Modelling Project Paul Hickey discuses new EC bathing water legislation and an innovative computer modelling project undertaken in galway T he objective of the Bathing Water Directive 2006/7/EC is to preserve, protect and improve the quality of the environment and to protect human health. The new Bathing Water Quality Regulations 2008 (SI No. 79 of 2008) transposed the 2006 Directive into Irish Law on 24th March 2008 (Source: www.epa.ie ). These new Regulations specifically aim to minimise human health risks associated with bathing and to ensure public awareness and involvement in bathing water quality management. This new legislation demands the implementation of tools with wide application and preparedness to deal with public participation. It is envisaged that people will have access to information in the near vicinity of the bathing waters and via the Internet. Key stakeholders, including government agencies and interest groups, will also be able to avail of text messaging of forecast results. Similar systems are already in place in Scotland, Portugal and Australia. The Galway Environmental Health Department engaged with a number of partners to devise a pilot study on 40 EHOA | yearbook 10/11 bacteriological water quality modelling at Blackrock, Salthill, Galway – one of the best-known bathing areas in the West. The project commenced in 2006 and was completed in 2009, when a report was submitted to Mr. Maurice Mulcahy, Regional Chief EHO with responsibility for Environmental Health Research and to Mr. Martin Devine, the then Assistant National Director for Environmental Health. Water Quality Modelling Models to forecast water quality, such as the DIVAST (Depth Integrated Velocities and Solute Transport) modelling tool are useful to evaluate the impact of inputs and, combined with efficient public information tools, can assume a considerable importance in the implementation of early alert systems. Dr M Hartnett, Department of Engineering, NUIG has developed such a model for Galway Bay. In 2006, funding was secured from the Assistant National Director of Population Health for a pilot project, with a view to determining the best predictors of bathing water quality at Blackrock, Salthill, a popular “Blue Flag” swimming location in Galway. The project concentrated on progressing and refining a water quality modelling system and assessing its capability in forecasting bathing water quality at this specific location. The project partners included Dr M Hartnett’s team, Engineering Dept., NUIG, in particular Dr Indiana Olbert and Mr Brian Harold; the Environmental Change Institute; Prof. M Cormican, Department of Bacteriology, National University of Ireland, Galway, Ireland and staff, Dr D Morris, Dr. Sandra Galvin and Ms Fiona Boyle; Ms Martina Mulligan, Plant Manager and staff of the Mutton Island WWTP (Earth Tech. Ltd.); Mr T Hernon, Mr Kevin Swift and staff of the Environment Section, Galway City Council. Timeframe The project was carried out incrementally over a period of three years, with sampling of inputs carried out during the busy tourist season, when the treatment plant was working under maximum loads. Details of the main sampling programme carried out during the study are outlined below and the resultant microbiological results, which helped to inform the model are available from the author. www.ehoa.ie Photograph: Enda Scahill Author: Paul Hickey TEN11 B a t h i n g w a t e r r e g u la t i o n s Project work included: ó Assessment of all historical data in relation to the bacteriological water quality of samples taken at Blackrock, Salthill. ó Assessment of bacteriological quality of River Corrib system and its significance as an input to the inner bay. ó Investigating the hypothesis of a correlation with antecedent rainfall, elevated river water levels and increased bacteriological seawater sample counts. ó Survey of the lower river basin/ intertidal zone for rogue discharges, to inform the decision as to the most suitable location for sampling in lower river basin. Sampling and assessment of bacteriological loading from this source. ó Profiling of the Salthill bathing location, with a view to identifying and assessing the pollution sources that might affect bathing water quality, including sampling of some of the relevant surface water and storm water inflows. ó Familiarisation with the Mutton Island waste water treatment plant, its processes and discharge mechanisms. Sampling of waste water prior to discharge, to assess bacteriological loading from this source. Assessment of flow data from plant to inform model. Main Sampling ó Sampling on nine days towards the end of August, 2006 (one day in early September) at three pre-determined locations, namely; 1. Nimmos Pier, in the lower river basin, 2. Mutton Island WWTP – treated effluent (including composite samples taken over a 24 hour period) and 3. Blackrock, Salthill to determine bacteriological quality and inform model. ó Sampling at high and low water on three days (which included Spring and Neap tides) at five pre-determined locations in the inner bay during 2007. ó Sampling at five pre-determined and geo-referenced locations in August 2008, with the use of pilot boat from Galway Harbour Company. The locations included an area positioned directly over the discharge diffuser area, the point of discharge for treated effluent in the Bay and the Blackrock swimming area. These five locations were sampled at high, mid and low tide www.ehoa.ie on the same day, with samples brought directly to the laboratory, in order to test model results. Outcomes and follow-on research The most significant outcome of the research is that it suggests that numerical modelling could be utilised to set up a warning system of likely water breaches at Blackrock. The conditions that might give rise to elevated levels of bacteria are largely known and most are being measured as it is. Combined with efficient public information systems, there is considerable scope to provide a predictive methodology for bathing water quality to the general public utilising Blackrock. The main findings are summarised below: ó A bacteriological plume is formed in the vicinity of the effluent discharge location, the movement of which is highly influenced by the state of the tide. ó The results of the predictive bacteriological model correlate well with the results from water samples taken in August, 2008. ó Only effluent discharged at high tide or soon after high tide will reach Blackrock (See Figure 1). ó E. Coli concentrations can increase or decrease rapidly over the space of one hour. ó Concentration of bacteria largely depends on the stage of tide, but are influenced also by weather conditions and time of day, particularly the absence of sunshine. ó At Blackrock, the highest levels were indicated at plus one (+1) to plus three (+ 3) hrs after High Water. ó During Neap tides – the plume is more compact, therefore it is unlikely to cause an exceedance at the bathing area. ó In general, wind effects do not appear to have a notable effect on the movements of the bacteriological plume, however, a strong East or South East wind at certain tidal stages merits further investigation. ó From the modelling and sampling programmes undertaken in this project, it appears that numerical modelling 4. Trapped coliforms carried back seaward along the coast on the second ebb tide. Extent of Coliform Plume. 3. Coliforms trapped by the Mutton Island Causeway 2. Coliforms pulled back in-towards the inner bay on the flood tide. 1. Coliforms discharged from Mutton Island are carried seaward on ebb tide. Above: Transport of Mutton island plume over two tidal cycles. could be utilised to set up a warning system of likely water quality breaches at Blackrock. Figure 1. – Transport of Mutton Island plume over two tidal cycles Meetings were held with officials of Galway City Council, during the term of the project, which highlighted relevant findings and the microbiological results of the research. Most of the rogue discharges in the lower river basin have been eliminated under Galway Main Drainage Scheme, which in turn, proposes an upgrading of the existing treatment plant to 145,000 population equivalent, a significant increase of its existing treatment capacity of 91,600. Other potential sources of contamination in the inner bay have been identified. There is a potential for additional modelling research to further improve and refine the model e.g. to test at times of significant mass loadings, or when the wet well by-pass system is activated at WWTP due to high rainfall, or when strong South or South Easterly winds act in combination with the outgoing tide. Rapid on-site tests are currently being developed, which can be used to determine coliform contamination and have been used in other jurisdictions. The use of such methods, in combination with a reliable modelling tool, to predict bathing water quality, could provide a robust early alert system. This would minimise bather’s exposure to pollution due to contamination episodes and improve bather’s confidence in the water quality. The communication of real time information would provide scope for health promotion interventions aimed at getting larger numbers of the population to actively engage in healthier activities. n Paul Hickey, holds a Diploma in Health Inspection CDVEC, an MA in Health Promotion, NUIG and is employed as a Senior Environmental Health Officer, HSE West. EHOA | yearbook 10/11 41 TEN11 V i t al p r o j e c t Author: Kris Willems and Rita Moloney VITAL: impact of viruses on food safety risk management kris A. Willems1,2 and Rita Moloney3 introduce the VITAL project F ood-borne viruses are recognised as a major health concern, but more and more, there is a realisation that an evidence-based approach is required in order to achieve their effective food safety risk management. Although research into food-borne viruses is increasing, there is still more information needed regarding their definition, distribution, transmission and potential impact on food safety. The discovery of new viruses and the enlargement of the global food market, presents new challenges for food safety risk managers, whereby new measures may be required to reduce the global burden of food-borne viral disease. Control of viral food safety hazards often requires different measures to those typically employed to combat bacterial hazards. Therefore, when developing and implementing an effective HACCP system, an important consideration must be that current food hygiene practices, which have been optimized for the prevention and control of bacterial infections, may not be effective for viruses. In Europe, it is difficult to identify the proportion of viral illnesses that are foodborne because of the inadequacy of virus surveillance systems, under reporting and the difficulty in differentiating the proportion of disease that is linked to foodborne routes, as opposed to common routes. VITAL: an integrated approach to risk management of foodborne viruses From April 2008 to September 2011, Areas of concern: untreated water supplies. fourteen institutes of eleven countries joined forces as a consortium in VITAL, an EC FP7 Small Collaborative Project (www.eurovital.org), to study the impact of viruses on food safety management (table 1). The VITAL consortium is composed of expert practitioners in food analysis, quantitative viral risk assessment (QVRA), risk management, and consumer safety. Their vision is an integrated approach to the risk management of food-borne viruses in Europe, based on the study of three farm-to-market food supply chains, i.e. soft fruits, salad vegetables and pork meat, at production, processing and point-of-sale. Various points along the food chain, i.e. at production, processing and point-of-sale, were monitored for the presence of human or animal viruses (tables 2, 3). By gathering real inprocess data for the first time, VITAL shall provide necessary information 1. Laboratory for Process Microbial Ecology and Bioinspirational Management (PME&BIM), Consortium for Industrial Microbiology and Biotechnology (CIMB), Department of Microbial and Molecular Systems (M2S), K.U.Leuven Association, Lessius Mechelen, B-2860 Sint-Katelijne-Waver, Belgium. 2. Scientia Terrae Research Institute (STRI), B-2860 Sint-Katelijne-Waver, Belgium. 3. Environmental Health Service, Health Service Executive (HSE), Sandfield Centre, Ennis, Co. Clare, Ireland. 42 EHOA | yearbook 10/11 www.ehoa.ie TEN11 V i t al p r o j e c t to effectively substantiate hazard analysis and risk assessment before regulations are drafted to address virus contamination issues in food supply chains. By sampling throughout various food supply chains, VITAL generates information on how foodborne viruses are introduced and how their presence is affected by elements of the production and processing of the foodstuffs. Data analysis in terms of risk will contribute to the identification of gaps in viral risk assessment and the evaluation and development of appropriate QMRA models for foodborne viruses. The critical evaluation of strategies for minimising virus contamination based on procedural controls and/or inactivation practices will help to determine whether existing monitoring and control practices are effective and consequently, HACCP systems should be adapted. Results and conclusions of the VITAL project will be incorporated into the development of the WHO Codex Alimentarius Code of Good Practice for virus management. Finally, dissemination of the results to the stakeholders, e.g. regulators, food business operators and consumers will allow them to translate this Code of Good Practice into HACCP models for specific food supply chains. VITAL’s challenges: Foodborne Foodborne viruses of main concern Viruses are very small biological entities, which can only be seen with an electron microscope. They consist mainly of genetic materials surrounded by a protective coat of protein. Viruses cannot multiply without invading a host cell to produce more virus particles. Outside, the host viruses appear as free and infectious particles. When they enter their host, they take over the host cell’s metabolic machinery to replicate themselves. After replication, virus particles are released, during which the host cell is most often dissolved. Sometimes a virus can enter a latent phase and stay in the host as an inactive particle. There are possibly no cells in nature that escape infection by one or more kinds of viruses. Infection usually results in viral illness of the host organism. For example, in humans, viruses cause measles, mumps, yellow fever, www.ehoa.ie poliomyelitis, influenza and the common cold. Some viruses cause illness and then seem to disappear, while remaining latent and later causing another, sometimes much more severe form of disease. Within the enormous diversity of viruses, only a few viruses are foodborne or cause food-borne diseases. All food-borne viruses originate from the intestine and are, probably, the most under-recognised cause of outbreaks of gastroenteritis. Their relevance is determined by the incidence and severity of food-borne disease and the potential for food-borne transmission and threat to public health. Norovirus (NoV) and hepatitis A virus (HAV) are of primary importance, causing gastroenteritis and hepatitis respectively. Other viruses that may be involved in food-borne viral infections include rotaviruses (Group A), hepatitis E virus and new viruses such as the SARS virus, coronavirus, Nipah virus and avian influenza virus. Norovirus food-borne outbreaks occur frequently, whereas HAV and HEV outbreaks occur incidentally. Food-borne viral diseases vary in their outcome from self-limiting to lethal. Viral transmission routes Viruses require a host in order to multiply and food-borne viruses, therefore, cannot grow in food. Since all food-borne viruses originate from the human intestine, food-borne outbreaks are primarily the result of direct or indirect human contamination of foodstuffs (figure 1). Human infection can occur following consumption of contaminated food, person-to-person body contact (human-borne), direct contact with carrier animals (animalborne) or environmental contamination (environmental-borne). Food may be contaminated by direct contact with treated or untreated sewage and sewage-polluted water, as well as infected food handlers during the preparation and serving of food. Main outbreaks of NoV and HAV food-borne illness have been associated with the consumption of shellfish that have been harvested from sewage-polluted waters. Shellfish are filter feeders that can concentrate virus particles from the surrounding water. Eaten raw, they are a high risk, but even approved inactivation or purification (depuration) processes has not prevented viral outbreaks of Norovirus and Hepatitis A virus. Food-borne viral outbreaks have also been associated with fruit and vegetables that were fertilised with sewage sludge, or irrigated with sewage-contaminated water. Contamination through sewage and human faeces is considered to be the main risk for the primary production of produce. Products involved in foodborne viral outbreaks are leafy vegetables such as lettuce, watercress, raspberries and strawberries. Food handlers shedding virus are the main cause of viral food-borne illness during the processing of foods and preparation of meals and this is considered an important risk throughout the whole food supply chain. It has been reported that a 10 second touch with virus-contaminated fingertips can transfer around 10% of the viruses onto a food or a surface. In most reported cases of viral gastroenteritis a food handler who was ill before or while handling food was identified as the source of infection. Fresh or mildly treated products that receive considerable handling are most implicated in food-borne viral outbreaks. Some of the reported products are salads, fresh-cut fruit, diced tomatoes, fruit juices, milk and milk products, cold meat cuts and sandwiches. Consumption of contaminated water and ice, or their use in food preparation, has also caused viral illness. In some cases, such as hepatitis E virus (HEV), avian influenza virus (HPAIH5N1), and Nipah virus, foodborne illness is caused by direct contact with animals. HEV is transmitted primarily by the faecal-oral route, through contaminated drinking water. However, recent studies have demonstrated that various animal species, such as swine, wild boar, rabbit, deer, rats, horse, cat, dog, sheep, goat, bovine, chicken and duck, have serum antibodies to HEV. In addition, people with occupational contact, such as veterinarians, farmers, butchers and slaughterhouse personnel, show high sero-prevalence of anti-HEV antibodies, suggesting that hepatitis E is a zoonotic disease. Although most of this is only indirect evidence, more recent findings regarding the consumption of HEV infected meat from deer, wild boar and pig, provide direct evidence for HEV infection to be a zoonosis. EHOA | yearbook 10/11 43 TEN11 V i t al p r o j e c t Survival and control The awareness that enteric viruses can be highly infectious and their viral load very high, e.g. 107 infectious viral particles, emphasised the need for a better understanding and novel information on the efficacy of elimination/preservation methods against food-borne viruses. However, studying the survival and control of food-borne viruses is hampered by the fact that most food-borne viruses cannot be cultured in the laboratory. Although no validated virus model or model system is available for studies on the inactivation of food-borne viruses, it is common practice to use surrogate viruses instead, which are structurally and genetically related to the human infecting strains, e.g. Murine Norovirus (MuNoV). However, these surrogate viruses are only indicative of reality and the validity of the data obtained is unclear. Therefore, there is a need for virus-specific data on survival and inactivation and because of the lack of these data food safety guidelines, should focus on the prevention of contamination and be based on survival/inactivation studies that have been carried out with the most resistant enteric viruses, such as HAV for foods and bacteriophages for water. Survival and control of viruses is determined by virus characteristics as well as environmental and processing conditions. Virus characteristics include aspects as their life cycle, structural stability, infectious dose and viral load. Environmental conditions include parameters such as temperature, pH, humidity and the food matrix. In general, food-borne viruses are more resistant than most vegetative bacteria to standard control measures. They survive well in unfavourable environmental conditions induced by preservation, inactivation and decontamination methods and may survive for prolonged periods in foodstuffs and the processing environment. Several studies indicate that foodborne viruses are highly resistant to chilling, freezing, preservatives and electromagnetic radiation, such as ultra violet (UV) and ionising radiation. HAV and NoV have both been reported to survive 60°C for 10 minutes. However, these viruses are inactivated at temperatures above 65°C at a rate proportional to the temperature 44 EHOA | yearbook 10/11 " Irrigation water was sourced from untreated shallow wells, open reservoirs and polluted streams Areas of concern: untreated water supplies. and dependent on other environmental factors, e.g. the composition of the medium. Full inactivation occurs at boiling temperature. Thus, intervention strategies inducing microbial inactivation are required to achieve a 3 log reduction. Both viruses are also resistant to acidic conditions (pH 3), and high alcohol and sugar concentrations. Therefore, foodborne viruses survive well on chilled acidified or frozen foods packed under modified atmosphere or in dried conditions and in processes such as pickling in vinegar or yogurt production. Detection and monitoring Detection methods - In the past, virus isolation and serology have been the most important methods for diagnosing viral infections. However, these methods lack sensitivity and are time-consuming because of their complex preparation of the sample. More recently, nucleic acid amplification techniques (NAATs) have been developed for most clinically important viruses as part of the direct examination of samples. However, standardised molecular-based methods for food-borne viruses are, except for shellfish, not yet available for most other foodstuffs. Particularly, PCR is an extremely sensitive technique and is increasingly being used for viral diagnosis. However, PCR has many problems due to its sensitivity. The main one is contamination, since only a minute amount of contamination is needed to result in a false positive result. Furthermore, positive PCR results are often difficult to interpret, as it does not indicate the presence of infectious virus particles or disease. This is of particular importance to latent viruses and the fact that inactivation and survival of viruses can vary. The great diversity of methods makes comparison of results rather difficult. Consequently, there is a pressing need for standardisation, particularly with new molecular-based tests. Challenges include sample preparation, method optimisation and formal validation. Formal validation of the general rules for PCR and different PCR tests (i.e. NoV and HAV) is on-going within different CEN committees (e.g. CEN/TAG4). Monitoring - It may be clear that the detection and monitoring of viruses requires specialist laboratories acquainted with the complex extraction methods and different detection methods. Most of the techniques available are not suitable for routine application and recovery rates remain www.ehoa.ie TEN11 V i t al p r o j e c t poor. Additionally, the applicability of the methods currently available for monitoring foods for viral contamination is unknown. For example, no consistent correlation has been found between the presence of pathogenic viruses and traditional indicator microorganisms of faecal contamination, such as bacteriophages and the enteric bacterium Escherichia coli. Food supply chains Information of verified outbreaks worldwide indicates that foodborne viruses are implicated in almost all food supply chains. Implicated foodstuffs include: seafood: crustaceans, shellfish, molluscs and related products; fruit: salads, juices and other related products; vegetables: salads and other related products; milk and milk products; meat: raw and prepared, liver sausages and related products. VITAL’s Outcome Sampling Viruses monitored - Since food can be contaminated by food-borne viruses originating from human as well as animal sources, VITAL has monitored the presence of both groups of viruses at various businesses involved at key stages of the food supply chains to differentiate between human or zoonotic source of origin (table 2). Viruses included in the monitoring program were adenoviruses (HAdV), bovine polyomavirus (BpyV) as so called “index” viruses and hepatitis A virus (HAV), hepatitis E virus (HEV) and Norovirus (NoV) as specific food-borne pathogens (table 3). Adenoviruses infect both humans and a wide variety of animal species. They are shed in large numbers in the faeces of infected individuals and are capable of robust survival. Adenoviruses have been proposed as an index of viral contamination, and the specific detection of adenoviruses from human or animal origin should be a useful tool for tracing the source of faecal viral contamination. Recent findings (unpublished) from the European FP6 project VIROBATHE Framework 6 project have supported the view that adenoviruses are quite commonly found when faecal contamination is evident. However, recently bovine polyomaviruses have been reported to be better candidates for tracing a bovine source of viral www.ehoa.ie contamination than bovine adenoviruses, due to their higher prevalence in faecal environmental samples. In the VITAL project both human and porcine adenoviruses, and bovine polyomavirus were used as “index” viruses, thus evidencing a risk of wider human or animal virus contamination of the food supply chain. HEV is regarded as a model zoonotic virus. If porcine adenoviruses were detected in samples of soft fruit, salad vegetables or shellfish, the sample was also analysed for HEV. Furthermore, if it was considered during the monitoring that the foodstuff or material had a chance of being contaminated by norovirus (NoV) and hepatitis A virus (HAV), e.g. if an outbreak has occurred or is occurring locally, then the samples were analysed for these agents. The viral loads in all samples were detected and quantified by RTPCR, QPCR and in vitro culture, this last approach to confirm the infectivity of detected virus. Results - Table 4 gives the preliminary data gathered by the different laboratories. Index and pathogenic virus have been found at various sampling points in each of the food supply chains. These data will be used to link them to the information obtained during the fact finding missions and to develop risk models for each of the supply chains identifying different routes of contamination from source to foodstuffs. Fact finding Missions Methodology - A series of fact finding missions (FFMs) on food safety practices were carried out across all of the chosen food supply chains at production, processing and point-of-sale. Linking the FFMs to the sampling of the different site/points in order to ensure that the sampling points are realistic to the actual production situation was a crucial element of the VITAL project. At the moment of sampling the actual standards of both operational and structural hygiene are documented and linked to the sampling results and subsequently were used as a basis for the development of a Code of Practice. One of the chief concerns was the problem associated with standardizing an approach to evaluating current practices in place at various sampling sites across different EU countries. The analysis of data will be coupled with the evaluation of the associate partners existing HACCP systems. This evaluation of existing HACCP systems is crucial to the validation of the proposed Code of Practice, which will be developed based on the outcomes of the data analysis. It will include a comparative analysis of existing poor practice (linked to viruses’ proliferation) and the reduction of viruses in an industry HACCP compliant/Best Practice environment. Standardisation and consistency of approach in these evaluations was therefore very necessary in order to reduce the influencing variables that impact on the efficacy of the existing risk assessment/HACCP systems. The consistent evaluation of these systems prior to sampling is key to the validation of proposed best practices. Accordingly, the collaboration between K.U.Leuven and the HSE, Environmental Health was formed, whereby an auditing team from this collaboration would carry Areas of concern: sanitary accommodation. out all of the 33 Fact Finding Missions " In many cases, there was an absence of designated sanitary accommodation for field workers, including hand washing facilities EHOA | yearbook 10/11 45 TEN11 V i t al p r o j e c t the points to be sampled (i.e. ad-hoc samples) based on areas of concern noted. These and regular samples were taken by members of the data-gathering laboratory. 6. Completion of the report The report includes verified information originally provided in the questionnaires, areas of concern noted during the audit with photographic evidence where relevant and appropriate and list of samples taken. The results of the samples will be analysed and linkages determined if any between positive results and the areas of concern. Subsequently these determination will be used to assess whether current good practices throughout the salad vegetable, soft fruit and pork supply chains comply with the forthcoming Codex Alimentarius Commission Guidelines on the Application of General Principles of Food Hygiene to the Control of Viruses in Food, and to inform the production of guidance manuals for virus-relevant HACCP implementation. " In most cases, at primary production of fruit and vegetables, food workers were not provided with protective clothing Areas of concern: food handler’s personnel hygiene. across 8 countries. The preparation and completion of the FFMs consisted of the following steps: 1. Compilation of Questionnaires for each stage of the relevant food supply chain, i.e. fruit and vegetables: primary production, processing, point-of sale; pork meat: slaughter houses, meat processing and pointof- sale All questionnaires were based on best practice and EU legislation including the main elements of food safety systems, namely: prerequisites, supplier control, process control and management control. The layout of the questionnaires consisted of 5 modules, namely: (1) enterprise (farm) review, (2) quality management systems, (3) physical location and lay-out, (4) production process, (5) product quality and traceability. All sections of the modules may not be relevant to each food business operation. 2. Completion of the questionnaires Each participating country had to complete three questionnaires for each stage of the relevant food chain. These completed questionnaires provide invaluable data and also ensure that there is variety regarding the 46 EHOA | yearbook 10/11 final selection. When selecting the food businesses the data gathering laboratories had to ensure that each stage of the supply chain was directly linked. 3. Selection of the food businesses The completed questionnaires were analysed and a final selection of the food business to be visited was made by the auditing team. At this stage possible areas of concern were identified and in consultation with the risk assessment team, included in the regular sampling program (table 2, 3). Non-compliance was based solely on EU legislation, i.e. is the minimum legislative requirement. 4. Preparation of the fact finding mission A checklist was prepared using the information furnished by the relevant questionnaire. Liaison with the relevant data gathering laboratories and logistic arrangements for the fact finding mission were finalised. 5. Completion of the fact finding mission The mission was carried out in the company of the local partner representative and sampling team of the data-gathering laboratory. The factfinding team visited the site, identified Areas of concern The areas of concern noted during the FFMs were based on non-compliance with national guidance documents and standards, industry best practices and legislative requirements. The noncompliances not surprisingly included food handler’s personal hygiene, sanitary accommodation, water supplies including irrigation water, sewage disposal, manure, structural hygiene and pest control. The greatest areas of concern were noted in the fruit and vegetable supply chain. The meat supply chain presented lesser grounds for concern as this industry across the EU is tightly regulated. The following are some examples noted. Water supply – Water supply was one of the major areas of concern for the primary production of soft fruit and vegetables. Irrigation water was sourced from untreated shallow wells, open reservoirs and polluted streams. In the case of soft fruits, i.e. raspberries and strawberries, the risk is particularly high as there is no washing step in the food chain from farm-to-fork. In most cases the water source has never been sampled for microbial pathogens. Sanitary accommodation – In many cases, there was an absence of designated sanitary accommodation www.ehoa.ie TEN11 V i t al p r o j e c t Recommendations As the project is still ongoing and the final analysis has not yet been completed, the following recommendations are only preliminary. Focus should be on the prevention of virus contamination in conjunction with control (prerequisites). More stringent personnel hygiene and effective training of food workers, especially in the primary production of fruit and vegetables, should be provided. Vaccination of food workers should be considered where possible, especially for HAV. Existing surveillance systems should be improved by combining laboratory testing and epidemiological information. Detection and prevention of food-borne viral infections should be organised using more nucleic acid amplification techniques (NAATs), such as single PCR and multiplex hybrid assays combining broad range PCR as well as multiplex PCR with DNA array technology. For the primary production of fruit and vegetables, the effective implementation of Good Agricultural Practices (GAP) is essential, but should emphasise more on the impact of viruses. EU risk classification of food businesses should be reviewed as fruit and vegetable businesses are currently deemed of low risk. Legislators and policy makers should prioritise the prevention and control of viruses. As a first step, findings of VITAL are being included in the development of the WHO Codex Alimentarius Code of Good Practice for virus management. n Figure 1 – Viral transmission routes Production Processing Point-of-sale Soft Fruit Vegetables Pork Meat Shellfish Irrigation water Irrigation water Pig faeces - Workers’ hands Workers’ hands Liver - Workers’ toilet Workers’ toilet Blood - Animal based fertilisers Animal based fertilisers Effluent - Equipment Equipment Equipment - Surfaces Surfaces Surfaces Workers’ hands Workers’ hands Workers’ hands - Fresh/frozen fruit (local) Fresh lettuce (local) Raw sausages Shellfish (local) Fresh/frozen fruit (imported) Fresh lettuce (imported) Liver Shellfish (imported) Table 2 – Sample types taken during the VITAL project. Viruses Food Supply Chain for field workers, including hand washing facilities. In some cases the sanitary accommodation provided was totally inadequate, for example dry closets in wooden structures whereby the faeces are simply disposed of by burying in nearby fields. In one case the male sanitary accommodation included a dry closet with no hand washing facility and the fruit packing was mainly carried out by male workers not wearing gloves. Food worker’s personnel hygiene – In most cases at primary production of fruit and vegetables food workers were not provided with protective clothing. If gloves were worn they were fingerless and were mainly for the protection against wounds. This coupled with the absence of hand washing facilities and produce rinsing provides a huge risk in term of virus contamination. HAdV BPyV PAdV HAV NoV HEV Soft fruit ✔ ✔* ✔* ✓ ✓ ✓ Lettuce ✔ ✔* ✔* ✓ ✓ ✓ Pork - - ✔ - - ✔ Shellfish ✔ ✔ ✔ ✓ ✓ ✓ Table 3 – Viruses monitored during the VITAL project; HAdV: human adenovirus; BPyV: bovine polyomavirus; PAdV: porcine adenovirus; HAV: hepatitis A virus; NoV: norovirus; HEV: hepatitis E virus; ü: in each sample (* not latrine samples or harvester’s hands); ü: only if presence indicated by indicator viruses; -: not taken. Food supply chain Phase Sample type Virus detected Production Harvester’s hands hAdV; NoV gll United Kingdom Harvester’s hands hAdV 2. Catholic University of Leuven Belgium Toilets 3. Veterinary Research Institute Czech Republic hAdV; NoV ggl, NoV ggll 4. University of Helsinki Finland Toilet door handles 5. Democritus University of Thrace Greece hAdV, NoV ggl, NoV ggll 6. Instituto Superiore Sanita Italy Irrigation water hAdV, pAdV 7. RIVM Netherlands Lettuce HEV, NoV ggl, pAdV 8. University of Wageningen Netherlands Faeces slaughterhouse HEV, pAdV 9. National Veterinary Research Institute Poland Pig livers slaughterhouse HEV, pAdV 10. Scientific Veterinary Institute “Novi Sad” Serbia Knives pAdV 11. University of Ljubljana Slovenia Foodworker’s hands pAdV 12. Agrarian Research Institute Spain Environmental pAdV 13. Veterinary Laboratory Agency United Kingdom Paté hAdV 14. University of Barcelona Spain Participant Country 1. Central Science Laboratory Table 1 – The VITAL consortium: 14 institutes and 11 countries www.ehoa.ie Soft fruit Salad vegetables Production Point-of-sale Pork Production Processing Table 4 – VITAL project: preliminary sampling results; hAdV: human adenovirus; pAdV: porcine adenovirus; NoV: norovirus; HEV: hepatitis E virus. EHOA | yearbook 10/11 47 TEN11 Leptospirosis Author: Ado Van Assche, David Moloney and Kris Willems Leptospirosis: a neglected zoonotic disease? Ado Van Assche1, 2, David Moloney1, 2, 3 and Kris A Willems1, 2 discuss the prevalence of leptospirosis and measures to prevent its spread W eil’s disease is one of the most notorious forms of leptospirosis. Although the disease is believed to have existed for millions of years, according to modern clinical description, Adolf Weil identified patients with symptoms now associated with leptospirosis including jaundice, acute renal failure and nephritis for the first time in 1886. In 1915, one of the causative agents of leptospirosis, Leptospira icterohemorrhagiae, was first isolated and identified by Inada et al. (1915). Most cases are reported in wet, tropical and sub-tropical regions. Developing countries have been shown to have a higher incidence of the disease, linked to unsanitary conditions, however the disease is becoming an emerging threat in developed countries. Currently leptospirosis is recognised as a worldwide zoonotic disease, with more than 500,000 cases of severe illness reported each year and mortality rates as high as 23.6 per 100,000 (WHO, 1999). Recent outbreaks include the infection of 75 inhabitants of the city El Eulma in Algeria. It is presumed that they drank from a contaminated well at the town mosque and the outbreak resulted in five deaths. In Australia, to date, four cases of leptospirosis have been confirmed associated with the recent flooding. In 2008, six hundred cases were reported in Europe (ECDC surveillance report, 2010). In most cases, infection can go unnoticed or be misdiagnosed, with patients presenting only a febrile illness (Levett, 2004). This, coupled with a lack of medical suspicion regarding the presence of leptospirosis, means that it is often overlooked (Maroun et al., 2011). As a result, leptospirosis is presumed to be under-reported. However, severe cases will lead to Weil’s disease or leptospirosis-associated pulmonary haemorrhage syndrome (LPHS), with a fatality rate of more than 50% (McBride et al., 2005). Due to these findings, leptospirosis is considered to be an emerging zoonotic disease. Leptospirosis in Ireland (1985-2008) Figure 1 - Incident cases of leptospirosis diagnosed in the Republic of Ireland. Source: National Disease Surveillance Centre ROI Hazard identification of Leptospira Infections of Leptospira spp. in developed countries usually occur after exposure to faecal contaminated water during recreational activities, i.e. swimming in open waters, canoeing, etc.; transmission from animals to humans, i.e. rodents, livestock and domestic animals; occupational risk to professions such as veterinarians, butchers, farmers and sewage workers, or during adventure tourism. Natural disasters such as flooding and cyclones have contributed to outbreaks in developing and developed countries. Pappas et al. (2008) gives a worldwide overview of the global incidence of leptospirosis. Even though the infection by Leptospira species is more common in tropical regions, the incidence in more moderate parts of the world cannot be neglected. Figure 1 shows the increasing numbers of reported cases of leptospirosis in Ireland (HPSC, 2009). In 2009, thirty cases of leptospirosis were documented. Ten cases were assumed to be related to occupational activities, of these ten cases, five were farmers. Another nine cases were linked with water sports activities, in three of these cases the activities occurred outside of Ireland. Six cases were associated with gardening, spending time by a river bank, or vacationing in a tropical location. In five cases, no risk information was available. It is clear that, in recent years, there has been an increase in the reporting of leptospirosis in Ireland. The notification rate per 100,000 population of leptospirosis in Ireland is more than four times the European average (ECDC 1. Laboratory for Process Microbial Ecology and Bioinspirational Management (PME&BIM), Consortium for Industrial Microbiology and Biotechnology (CIMB), Department of Microbial and Molecular Systems (M²S), K.U.Leuven Association, Lessius Mechelen, B-2860 Sint-Katelijne-Waver, Belgium. 2. Scientia Terrae Research Institute (STRI), B-2860 Sint-Katelijne-Waver. 3. MicroBioMetrix bvba (MBM), B-2860 Sint-Katelijne-Waver. 48 EHOA | yearbook 10/11 www.ehoa.ie TEN11 Leptospirosis surveillance report, 2010). There is an increase of up to 0.66 in comparison to 0.51 and 0.43 notification rate per 100,000 population of leptospirosis in 2007 and 2006, respectively. The European average decreased from 0.22 in 2007 to 0.15 in 2008 (Data from Spain and France are not included in the European average). According to Global Infection Diseases and Epidemiology Network (GIDEON, www. gideononline.com/2010/01/05/ leptospirosis-in-ireland/) this increase is not in correlation with neighbouring regions, i.e. North Ireland, Scotland, England and Wales. Serological classification and grouping Classification Leptospira species are a group of bacteria that belong to the family of the Leptospiraceae, which belongs to the order of the Spirochaetales. The genus Liptospira is divided into 20 species, based upon DNA analysis, of which 14 are pathogenic or opportunistic pathogenic species, others are called saprophytic species. Based upon serological typing, there can be a differentiation of more than 250 serovars organised into 24 serogroups, which consists of serovars who are antigenically related (Galloway and Levett, 2010). Occurrence According to Adler and de la Peña Moctezuma (2010), leptospirosis is the most widespread zoonosis. Leptospira species survive in the renal tubes of the kidneys of the carrier, other tissue and organs may serve as a reservoir. Many animals have been identified as potential carriers, including rodents, dogs, cattle, horses, pigs (Adler and de la Peña Moctezuma, 2010), and even marine mammals such as sea lions (Gulland et al., 1996). Infected wild and domestic animals can host leptospires for a long time, shedding the infectious agent into the environment by urinating. Upon contact with infected soil or water, other animals and humans can be exposed to pathogenic leptospires. Although Leptospira spp. are susceptible to variations in salt concentration and pH, Trueba et al. (2004) showed that these organisms can survive for 110 days in distilled water, and their survival can be prolonged to 347 days in more viscous solutions. Subsequently, Ristow www.ehoa.ie " Natural disasters such as flooding and cyclones have contributed to outbreaks in developing and developed countries et al. (2008) demonstrated the growth of saprophytic and pathogenic leptospires in biofilm. It is a well documented fact that bacteria able to form biofilm are protected from external changes in the biotic and abiotic environment. Considering these findings, the occurrence of Leptospira spp. has to be recognised as omnipresent. Detection and monitoring Although Leptospira spp. have been cultured on artificial media (Baseman et al., 1966), usually serum is added to the growth medium. Nevertheless, because of long incubation times and difficulties of culturing leptospires from environmental and clinical samples, other methods are used. These methods include direct dark-field microscopy, cross-agglutinin adsorption test (CAAT), enzyme-linked immunosorbent assay (ELISA), polymerase chain reaction (PCR) and pulsed-field gel electrophoreses (PFGE). Leptospira species are about 0.25 by 6 to 25 μm in size, which enables them to pass through 0.45 μm filters. Therefore, leptospires are directly visualised by darkfield or phase-contrast microscopy of wet preparations (Bharti et al., 2003), although high concentrations are necessary. For the differentiation of serovars, the CAAT is used. This method is based upon the serological characteristics of the isolate and uses antibodies to recognise the different serovars. Because these reference serological reagents are not readily available (Bharti et al., 2003), alternative DNA-based techniques such as PFGE are used. PFGE is mostly used because of the international standardisation and the exchange of data is made available through the PulseNet model (Levett, 2004; www. cdc.gov/pulsenet/). Another DNA-based technique is PCR, identification of the genotype is made possible by amplifying the 16S rDNA gene with leptospires selective primers (Mérien et al., 1992). Commercial real-time PCR are available for quantifying Leptospira spp. on a culture-independent way, resulting in fast detection times. Nucleic acid amplification procedures (NAATs), including PCR, nucleic acid sequencebased amplification (NASBA), and loop-mediated isothermal amplification (LAMP) are increasingly used in routine clinical laboratories for the detection of EHOA | yearbook 10/11 49 TEN11 Leptospirosis " Infections of Leptospira spp. in developed countries usually occur after transmission from animals to humans, i.e. rodents, livestock and domestic animals pathogenic microorganisms. Most of these methods are convenient for the detection of a single or a few pathogens, screening for large numbers of different pathogens relies on a significant number of parallel tests, often using different technologies (Evangelopoulos et al., 2001; Frans et al., 2008). Consequently, testing on multiple targets using these methods is laborious, time-consuming and expensive. Multiplex PCR or DNA arrays represent the latest diagnostic approach, allowing for the detection of multiple targets in a single assay. One of these low-cost DNA arrays is the DNA Multiscan® (www.multiscan.com), a hybrid assay combining broad range PCR as well as multiplex PCR with DNA array technology to simultaneously detect several water-borne and fish pathogens, including bacteria as well as viruses (Justé et al., 2010; Lievens et al., 2003, 2006, 2007, 2011). ELISA is an immunological method to detect antibodies in a patient’s sample, opposed to the detection of the Leptospira spp. itself. Patient’s 50 EHOA | yearbook 10/11 antibodies can be detected in the first week of infection (Levett, 2004). WHO, 2003 gives an overview of commercial test kits for the detection of Leptospira spp. or its antibodies, including contact addresses of suppliers. This document is available at www.leptonet.net/html/ who-ils_guidelines.asp. Hazard characterization of Leptospira Leptospirosis / Signs and symptoms Leptospirosis has an incubation period of five to 14 days on average, with a range of two to 30 days. Initially, the first symptoms are a febrile illness that often is not differentiated from other acute fevers. In most cases, the disease resolves after the first week of symptoms (Ko et al., 2009). In five to 15 % of the cases, patients develop severe late-phase manifestations (McBride et al., 2005). In different clinical studies, the most common symptoms are fever, myalgia, and headache, although it has been shown that leptospirosis can have a wide range of symptoms. Jaundice, renal failure and pulmonary haemorrhage are more associated with severe cases, but not exclusively. Leptospirosis / Treatment and prevention Leptospires are susceptible to β-lactams, macrolides, tetracycline, fluoroquinolones and streptomycin. Treatment of leptospirosis is most effective when initiated early (Levett, 2004), which is in contrast with the difficult diagnosis and detection of the disease and the infectious agent. Treatment options include oral doxycycline or intravenous penicillin. Doxycycline may be considered for chemoprophylaxis if high-risk exposures are anticipated (Edwards and Levett, 2004). Guidugli et al. (2000) concluded that antibiotics could be a useful treatment for leptospirosis, but scientific and clinical evidence is insufficient to provide clear guidelines for practice. Nevertheless, the evidence suggests that penicillin may cause more good than harm. Vaccines have been developed and are available in some countries, large scale clinical trials have been reported in Cuba, Russia and China. Long-term efficacy studies have not been reported. Usually these vaccines are based upon inactivated www.ehoa.ie TEN11 Leptospirosis bacteria, which explains the short-term efficacy. Furthermore, unacceptable side effects, locally variable patterns of Leptospira transmitted, the theoretical potential for inducing autoimmune disease, and the incomplete knowledge of mechanism of protective immunity are the basis of the lack of a vaccine (Bharti et al., 2003). Animal vaccines are commercially available and have been shown to suppress disease. Nevertheless, there are scientific papers published that underline the awareness that shedding by urine secretion is still possible after vaccination of animals, coupled with the fact that different animal can be infected by various serovar types, thus vaccination does not eliminate the risk of transmission to humans. This observation underlines the risk of contamination during drinking of unpasteurised milk. Another route is amongst the occupational group such as butchers, veterinarians, farmers, rodent control workers, rescue workers, etc. Most likely, there are other transfer routes who have not yet been identified. For example, Singh et al. (2003) found up to 20% of Leptospira spp. in the microbial biofilm community of a dental unit’s water system, using 16S rDNA gene clone library analysis. Confirmation of actual transfer to humans should be investigated. Food-borne leptospirosis, either through consumption of meat of an infected animal or use of contaminated water in fruit or vegetable produce has not been reported. Exposure assessment Transmission routes The reservoir of Leptospira species is without doubt many different kind of animals (Adler and de la Peña Moctezuma, 2010). The transfer to humans can be direct or indirect. Leptospires may be excreted with urine, thus infective urine is a major source of infection for humans. To survive, leptospires must remain moist as they do not possess a waterproof membrane, and therefore are killed immediately that their environment dries out. Cans, bottles, etc. are considered safe as the bacteria will rapidly dry out and die on their surfaces. Most infections are related to exposure to contaminated water. These can include recreational swimming in open water (Narita et al., 2005), drinking of unsafe water from public drinking water fountains (Cacciapuoti et al., 1987), or untreated wells (Aoki et al., 2001). There is an increased risk after natural disasters such as flooding (Gaynor et al., 2007), heavy rain falls, due to enhanced distribution and the higher penetration of bacteria in soil, earthquakes (Aoki et al., 2001) and cyclones (Sehgal et al., 2002). In addition, not only swallowing of contaminated water, but also prolonged immersion may make the skin more penetrable and allow leptospiral invasion, even in the absence of skin abrasions (Monahan et al., 2009). Different direct modes of transmission have been summarised by Vijayachari et al. (2008). In the case of animals and humans, these can be by exposure to infected urine, by sexual contact, or by suckling milk from infected mothers. Conclusions Current epidemiological data demonstrates the omnipresence of Leptospira species in the world. In tropical regions, cases of infection are much more common and therefore better documented. For developed regions, such as Ireland, preventive measurements can be taken. These include a study of the epidemiology of Leptospira species within Ireland. The focus of such a study could be wild, farm and domestic animals, natural open waters and private wells (especially after flooding). Preventative control measures such as routine sampling for Leptospira in untreated water supplies in the more vulnerable areas and designated freshwater bathing areas should be carried out. Also, molecular methods can be used to assess suspect water bodies prior to planned recreational events (Monahan et al., 2009). The more recent technological advances in testing techniques such as the DNA Multiscan®, should facilitate a more cost-effective and less labour intensive approach to multiplex testing. Health care providers should maintain a high level of suspicion for leptospirosis, even in well-developed urban areas, following flooding events, and public health officials should promote awareness of leptospirosis among flood affected populations. Workers in flooded areas where Leptospira might be present should be encouraged to adopt appropriate protective measures (Gaynor et al., 2007). Standard good hygiene practise as for other bacterial contamination are successful in controlling infection. n www.ehoa.ie References Adler, B., and A. de la Peña Moctezuma. 2010. Leptospira and leptospirosis. Vet. Microbiol. 140:287-296. Aoki, T., Koizumi, N., and H. Watanabe. 2001. A case of leptospirosis probably caused by drinking contaminated well-water after an earthquake. Jpn. J. Infect. Dis. 54:243-244. Baseman, J.B., Hennebarry, R.C., and C.D. Cox. 1966. Isolation and growth of Leptospira on artificial media. J. Of Bacteriology. 91(3):1374-1375. Bharti, A.R., Nally, J.E., Ricaldi, J.N., Matthias, M.A., Diaz, M.M., Lovett, M.A., Levett, P.N., Gilman, R.H., Willig, M.R., Gotuzzo, E., and J.M. Vinetz. 2003. Leptospirosis: a zoonotic disease of global importance. Lancet Infect Dis. 3:757-771. Cacciapuoti, B., Ciceroni, L., Maffel., C., Di Stanislao, F., Strusi, P., Calegari, L., Lupidi, R., Scalise, G., Cagnoni, G., and G. Renga. 1987. A water-borne outbreak of leptospirosis. Am. J. of Epidem. 126(3):535-545. Edwards, C.N., and P.N. Levett. 2004. Prevention and treatment of leptospirosis. Expert Rev. Anti-infect. Ther. 2:293-298. European Centre for Disease Prevention and Control. 2010. Surveillance rapport, annual epidemiological report on communicable diseases in Europe. 81-83. Evangelopoulos, A., Legakis, N., and N. Vakalis. 2001. Microscopy, PCR and ELISA applied to the epidemiology of amoebiasis in Greece. Parasitology International. 50:185-189. Frans, I., Lievens, B., Heusdens, C., and K.A. Willems. 2008. Detection and identification of fish pathogens: what is the future?. Israeli Journal of AquacultureBamidgeh, 60 (4):213-229. Galloway, R.L., and P.N. Levett. 2010.Application and Validation of PFGE for Serovar Identification of Leptospira Clinical Isolates. PLoS Negl Trop Dis 4(9): e824. doi:10.1371/journal.pntd.0000824. Gaynor, K., Katz, A.R., Park, S.Y., Nakata, M., Clark, T.A., and P.V. Effler. 2007. Leptospirosis on Oahu: an outbreak associated with flooding of university campus. 76(5):882-885. Gulland, F.M., Koski, M., Lowenstine, L.J., Colagross, A., Morgan, L., and T. Sparker. 1996. Leptospirosis in California sea lions (Zalophus Californianus) stranded along the central California coast, 1981-1994. J. of Wildlife diseases. 32(4):572-580. Guidugli, P., Castro, A.A., and Á.N. Atallah. 2000. Antibiotics for leptospirosis. Cochrane Database of Systematic Reviews. Issue 2. Art. No.: CD001306. DOI: 10.1002/14651858.CD001306. Health Protection Surveillance Centre (HPSC). 2008. Epidemiology of Leptospirosis in Ireland, Annual report. 66-67. Hogan, M.C., Pate, G., McConkey, S.J., O’Flanagan, D., Mongan, C., and G.J. Mellotte. 1997. Leptospirosis in the Republic of Ireland: 1985 to 1996. Communicable disease Review. 7(12):R185-R189. Inada, R., Ido, Y., Hoki, R., Kakeno, R. & Ito, H. 1915. The etiology, mode of infection and specific therapy of Weil’s disease (Spirochaetosis icterohaemorrhagica). J. Exp. Med. 23:377–403. Justé, A., Meyers, M., Michiels, C., De Coster, L., Paulussen, J., Willems, K.A., and B. Lievens. 2010. DNA array based detection of Legionella species reveals selectivity of the conventional culture based detection method. ISME13, 22-27 August 2010, Seattle, USA. Book of abstracts (Poster). Ko, A.I., Goarant, C., and M. Picardeau. 2009. Leptospira: the dawn of the molecular genetics era for an emerging zoonotic pathogen. Nature reviews. Doi:10.1038/ nrmicro2208. Levett, P.N., 2004. Leptospirosis: A forgotten zoonosis? Clin. and Appl. Imm. Reviews. 4:435-448. Lievens, B.,Brouwer, M. Vanachter, A.C.R.C. Lévesque, C.A., Cammue, B.P.A., and B.P.H.J. Thomma. 2003. Design and development of a DNA array for rapid detection and identification of multiple tomato vascular wilt pathogens. FEMS Microbiology Letters. 223:113-122. Lievens, B., Claes, L., Vanachter, A.C.R.C., Cammue, B.P.A., and B.P.H.J. Thomma. 2006. Detecting single nucleotide polymorphisms using DNA arrays for plant pathogen diagnosis. FEMS Microbiol. Lett. 255:129-139. Lievens, B., and B.P.H.J. Thomma. 2007. Quantification in multiplex format as a challenging goal for plant pathogen molecular diagnostic assays. Pest Technology. 1: 17-26 (Invited review). Lievens, B., Frans, I., Heusdens, C., Justé, A., Jonstrup, S. P., Lieffrig, F., and K.A. Willems. 2011. Rapid detection and identification of viral and bacterial fish pathogens using a DNA array-based multiplex assay. J. Fish. Dis. (in press). Maroun, E., Kushawaha, A., El-Charabaty, E., Mobarakai, N., and S. El-Sayegh. 2011. Fulminant Leptospirosis (Weil’s disease) in an urban setting as an overlooked cause of multiorgan failure: a case report. Journal of Medical Case Reports 2011, 5:7. McBride, A.J., Athanazio, D.A., Reis, M.G. and A.I. Ko. 2005. Leptospirosis. Curr. Opin. Infect. Dis. 18:376-386. Mérien, F., Amouriaux., P., Perolat, P., Baranton, G., and I. Saint Girons. 1992. Polymerase chain reaction for detection of Leptospira spp. in clinical samples. J. of Clin. Microbiol. 30(9):2219-2224. Monahan, A.M., Miller, I.S., and J.E. Nally, 2009. Leptospirosis: risks during recreational activities. J. Of Appl. Microbiol. 107:707-716. Narita, M., Fujitani, S., Haake, D.A., and D.L. Paterson. 2005. Leptospirosis after recreational expusore to water in the Yeayama islands, Japan. Am. J. Trop. Med. Hyg. 73(4):652-656. Pappas, P., Papadimitriou, P., Siozopoulou, V., Christou, L., and N. Akritidis. 2008. The globalization of leptospirosis: worldwide incidence trends. Int. J. of Inf. Dis. 12:351-357. Ristow, P., Bourhy, P., Kerneis, S., Schmitt, C., Prevost, M., Lilenbaum, W., and M. Picardeau. 2008. Biofilm formation by saprophytic and pathogenic leptospires. Microbiology, 154:1309-1317. Sehgal, S.C., Sugunan, A.P., and P. Vijayachari. 2002. Outbreak of leptospirosis after the cyclone in Orissa. Natl. Med. J. India. 15(1):22-3. Singh, R., Stine, O.C., Smith, D.L., Spitznagel, Jr., J.K, Labib, M.E., and H.N. Williams. 2003. Microbial diversity of biofilms in dental unit water systems. Appl. and Env. Microbiol. 69(6):3412-3420. Trueba, G., Zapata, S., Madrid, K., Cullen, P., and D. Haake. 2004. Cell aggregation: a mechanism of pathogenic Leptospira to survive in fresh water. Int. Microbiol. 7(1):35-40. Vijayachari, P., Sugunan, A.P., and A.N. Shriram. 2008. Leptospirosis: an emerging global public health problem. J. Biosci. 33(4):557-569. Weil, A. 1886. Ueber eine eigentümliche, mit Milztumor, Ikterus und Nephritis einhergehende akute Infektionskrankheit. Dtsch. Arch. Klin. Med. 39:209-232. (in German). WHO. 1999. Leptospirosis worldwide. Wkly Epidemiol. Rec. 74:237–242. WHO. 2003. Human Leptospirosis: Guidance For Diagnosis, Surveillance and Control. EHOA | yearbook 10/11 51 TEN11 Scall o p P r o c e s s i n g Author: Liam Kennedy Investigating scallop processing practices A recent study investigated complaints about scallops and the implications for food safety of scallop processing practices, writes Liam Kennedy, Sea Fisheries Protection Officer W e have received several complaints from seafood processors and wholesalers regarding scallops that were purchased from large processors. Specifically, these complaints were about strong chemical smells, bleaching of the scallop meat to improve the colour and soaking of the scallops in freshwater to bulk up the product. This practice of soaking the scallops resulted in a large amount of water exuding from the scallop meat during storage or cooking. Another facet of the complaints was that polyphosphates were being used to aid water binding. The purpose of the study that will be discussed in this article was to investigate the complaints made and to assess their validity. Added water Complaints about added water are common within the muscle meat industry. The Food Standards Agency UK has completed several studies based on these complaints and on consumer concerns; these studies are as follows: A report published in 1997 by the Food Standards Agency UK on “Added Water in Cured Pork Products” found that out of 614 products sampled, only 199 had declared added water. It was also found that of the 415 products that did not declare added water, either no declaration was made or the declaration “no added water” or “0% Water” was put on the packaging. Only sixteen of the samples were found to have failed to 52 EHOA | yearbook 10/11 www.ehoa.ie TEN11 Scall o p P r o c e s s i n g approved previously by inspectors from packaging and returning them to the holding area for scallops that were awaiting approval. This was done to increase the chance of un-inspected scallops being approved. The employees would then fill the previously emptied, approved boxes with either rejected scallops or un-inspected scallops and these would be shipped to customers. FDA agents were unable to determine exactly how much money the company earned from the scheme, but it was calculated that two of these shipments made had netted the company over $54,000. While the FDA was not able to determine the health risk from the consumption of fraudulent scallops, the company was charged with economic fraud with fines and penalties totalling $120,000. " complaints were about strong smells, bleaching of the scallop meat and soaking of the scallops in freshwater accurately declare added water content. Of all the sixteen products identified, fifteen had no declaration of water content and one had stated there was “no added water” on its label. A report published by the same organisation in 2000, a “Survey of Added Water in Chickens and Chicken Products” found that out of 187 chicken products sampled, only 34 where found to have added water. For thirty of the samples, water had been declared as an ingredient, so only four out of 187 products were found to be making a false declaration. The most significant findings were found for the samples of whole chickens. From a total sample size of seventy-five chickens, seventy-one had no declaration of water content and out of these seventy-one, it was found that 52% of these samples were found to have “Added Water” and thus, that they could be in breach of labelling regulations. Phosphates The use of phosphates within the meat industry appears to be an accepted practice. The purpose of application of phosphates seems to be to provide an antimicrobial function, cause sensory or colour changes (Chang and Douglas 1999). Labelling requirements The labelling requirements in relation to added water and the use of phosphates in foods are laid out in the following directives: www.ehoa.ie ó Directive 2000/13/EC of the European parliament and of the council of 20 March 2000 on the approximation of the laws of the member states relating to the labelling, presentation and advertising of foodstuffs. ó European parliament and council directive no. 95/2/EC of 20 February 1995 on food additives other than colours and sweeteners. Directive 95/2/EC lays out the requirements for use of additives within the European Union. Case Study One of the largest incidences of breaches was reported by Kurtzweil (1997) and involved a seafood processor based in Virginia, USA. An investigation was initiated after two shipments that the company exported to foreign countries were rejected due to excessive moisture content. An investigation by the Food and Drugs Administration (FDA) found evidence that, for a period of more than a year, the company had soaked scallops in order to increase their net weight and thus price, since all scallops sold were priced according to weight. The FDA also found that the company had been treating decomposing scallops prior to sale, in order to cover up off-odours and discolouration. The chemical that was used was Chlorine Dioxide, an industrial metal cleaner. In addition, investigators discovered that the company engaged in a practice of taking scallops that had been Materials and method Samples were taken from a fishing vessel for a baseline study and from processors to test against the base line. Scallops for baseline study Fresh scallops were sourced from a fishing vessel. The procedure was to take scallops from the start of the trip, the middle of the trip and the end of the trip. The scallops were taken to a local processor, where abductor and gonad meat was taken out of the shell, washed and allowed to drain, as would be normal during scallop processing. Sixty scallops were divided into three groups of 2 kg each. These samples (sample one, two, three) were tested for water content. Six scallops were to be analysed for phosphate content. Scallops from processors Scallops were sourced from the three processors, the samples (sample four, five, six) taken were commercially packed. Water content analysis Water content was measured by determining total apparent fish content using the following parameters: ó Protein ó Ash ó Carbohydrate ó Fat ó Moisture ó Total apparent fish content EHOA | yearbook 10/11 53 TEN11 Scall o p P r o c e s s i n g RESULTS ›› Sample 1 Sample 2 Sample 3 Average Protein Content % 17.3 17.4 17.4 17.36 Ash % 1.8 1.8 1.8 1.8 Carbohydrate % 2.4 1.4 1.9 1.9 Fat % 0.6 0.6 0.6 0.6 Moisture % 77.9 78.79 78.34 78.34 Nitrogen Factor % 2.64 2.64 2.64 2.64 0 0 0 0 Apparent Total Fish Content % w/w 105 106 106 105.66 Phosphorus mg/Kg 3051 Fish Nitrogen g/100g 3051 Table 1. Results for baseline assessment Sample 4 Sample 5 Sample 6 17.8 17.7 18.3 Protein Content % Ash % 1.6 1.8 1.8 Carbohydrate % 2.5 0.8 2 0.7 1 0.8 Moisture % Fat % 77.43 78.75 77.08 Nitrogen Factor % 2.64 2.64 2.64 0 0 0 Apparent Total Fish Content % w/w Fish Nitrogen g/100g 108.2 106 106 Phosphorus mg/Kg 2986 2957 3308 Sample 4 Sample 5 Sample 6 Moisture % 77.43 78.75 77.08 Difference % 1.61 0.56 1.6 Table 2. Results for processor samples Table 3. Percentile difference of moisture content found in scallops against the average in Table 1 Sample 4 Sample 5 Sample 6 Phosphorus mg/Kg 2986 2957 3308 Difference % 2.13 3.08 8.42 Table 4. Percentile difference of Phosphorus levels found in scallops against the average in Table 1 Polyphosphate analysis The total phosphorus was measured and when compared against a base line, any added phosphate could be calculated. Discussion The baseline study was done as an attempt to accurately compare processed products. Unfortunately, the cost of analysis was a limiting factor for total fish content, so comparison is only made from the average of three samples, however, this does consist of sixty 54 EHOA | yearbook 10/11 scallops, which is quite a large amount to base an average on. The one exception is the phosphorus level, which was based on a single sample of six scallops. The sample was taken directly from the trawler to ensure that no processing had taken place. In this instance, time and a lack of regular scallop landings were limiting factors. Results for the baseline study gave an average moisture content of 78.34%, which falls within the ranges found in a study by Botta and Cahill (1992). This studied Sea Scallops and Icelandic Scallops and calculated moisture content between 74.63% and 81.25%. The range found in the study by Botta and Cahill (circa 1992) was huge, but the same study also recorded vast differences in moisture content based on the harvesting season. Of all results gained for the purpose of this study, two of the most important data sets are moisture content and phosphorus content, as it is these that are used to either adulterate product or aid in product adulteration. Samples one, two and three were fished off the Isle of Man in a two-day period, while samples four and five were taken from the processors and fished from the same fishing grounds. Sample six was fished from an area off the Welsh coast, approximately two hundred miles from fishing grounds from the Isle of Man. This could account for the slightly higher phosphate level noted, which is not considered significant because there is no notable difference in moisture content. In general, moisture content in scallops from the processor was not found to be significantly different to that established from the baseline study, with a percentage variance as shown in Table 3 of 0.56% to 1.16%, with only one processor sample showing higher water content than the baseline. Water content found during sampling fell well under the legal bench mark as set out in council directive 2000/13/EC, which states any added ingredient over 5% would need to be included on the ingredient list. Phosphate levels noted in the study were also not found to be significant. The percentile variance found in processor samples, as shown in Table 4 were between 2.13% and 8.42% with two of the samples actually having less phosphorous than the baseline study. One sample had a phosphorus level 8.42% higher, but as discussed above, this would not appear to be significant as it is not accompanied with higher water content. Conclusions and Recommendations Processors are open about the fact that they soak scallop meat in fresh water for a period of 2-6 hours. In some incidences the reason stated was to improve colour of scallop meat and for other processors, it was claimed soaking was a customer requirement. In this study, two out of the three www.ehoa.ie TEN11 Scall o p P r o c e s s i n g processors stated soaking of scallop meat is common practice prior to packing. The third processor makes a point of not soaking scallops and uses this fact as a marketing tool. Sample four and six were sourced from processors who soak scallop meat. Sample five was sourced from the processor who does not soak their scallop meat. While the process of soaking appears to be an industry norm, on assessment of food safety management systems with regards to the scallop line, no mention is made of the soaking step, therefore the process does not adhere to the principles of a Food Safety Management system and therefore, is contrary to E.C Regulation 852/2004, Article 5. Another issue noted with the practice of soaking was observed in one processing premises. Scallops were placed into water baths prior to meat extraction, the purpose of which was to cause live scallops to open. The same water baths were then used to soak the meat. While water was changed between these two operations, there is a significant risk that the water baths may be contaminated with marine bio-toxins. The most significant of these would be Domoic acid, the causative agent of Amnesic Shellfish Poisoning, which is considered to be endemic in scallop population. Risk of intoxication is considered to be minimised only once abductor and gonad meat have been removed from the rest of the scallop. As soaking is generally an undocumented procedure, it would never be clear whether this process has been correctly controlled, including the changing of waters, the cleaning of equipment etc. As risk of contamination is very significant at this point, the same equipment should not be used for both processes. Based on results, there would appear to be no difference in water content of processed scallops against unprocessed scallops sampled and in the same study, no added phosphates were detected in the samples taken. This would appear to be contrary to anecdotal evidence that states that scallops sourced from some processors exude a large amount of moisture. There have also been complaints about a lack of taste due to soaking and of chemical taint, noticeable when containers of scallop meat are opened. More samples need to be taken to www.ehoa.ie determine baseline levels of scallop meat composition. Determination of a baseline is hindered by the fact that scallop composition is dependant on feeding patterns, fishing grounds and seasonality (Botta and Cahill (1992)), so composition baselines would need to be developed for each fishing ground and for each season. Only after a true baseline has been developed could significant data be gathered from processors. More samples need to be taken from processors and more information is needed on the processes taking place in factories, which lead to the high levels of drip loss and cooking loss associated with complaints and to identify which chemical is leading to odour complaints. Despite the fact that in the case study discussed in this study, the FDA was unable to identify health risks associated with the activities of the company, it is clear that unapproved processing and treatment of scallops with a strong chemical could pose a risk to human health. At the moment, there is no legal limit on what the moisture content for a scallop should be. The FDA has a limit of moisture content of 84%, anything above this is considered to be a water-added scallop product. If proper baseline studies were completed, a limit could be placed on scallops for marketing within the EU, which would be a step towards preventing processors soaking scallops and the protection of consumer rights. n References Botta J.R. and Cahill F.M. (1992?) Moisture content of scallop meat: Effect of species, time of season and method of determining “added water” Canada Department of Fisheries and Oceans, http://nsgl. gso.uri.edu/flsgp/flsgpw93002/flsgpw93002_part2. pdf (?circa 1992) Chang R. Kim, Douglas L Marshall (1999) Microbiological, colour and sensory changes of refrigerated chicken legs treated with selected phosphates, Food Reasearch International, Vol. 32, p. 209-215 DIRECTIVE 2000/13/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL of 20 March 2000 on the approximation of the laws of the Member States relating to the labelling, presentation and advertising of foodstuffs http://www.fsai.ie/ uploadedFiles/Consol_Dir2000_13.pdf accessed on the 21/4/10 at 17.00 EUROPEAN PARLIAMENT AND COUNCIL DIRECTIVE No 95/2/EC of 20 February 1995 on food additives other than colours and sweeteners. http://eurlex. europa.eu/LexUriServ/LexUriServ.do?uri=CONSLE G:1995L0002:20060815:EN:PDF accessed on the 21/4/10 at 18.00 Food-Info Net (2010) http://www.food-info.net/uk/e/ e452.htm, last updated on the 31/3/10, accessed on the 21/4/10 at 19.20 Food Safety and Standards Agency,. Survey of Added Water in chickens and chicken parts. Food Surveillance Information Sheet No. 8/00, October 2000 Joint Food Safety and Standards Group. Survey of Added Water in Cured Pork Products. Food Surveillance Information Sheet No 132, 1997 Kurtzweil P. Scallop Scheme Scuttled, FDA Consumer, Vol. 31, 1997 Liam Kennedy is employed as a Sea Fisheries Protection Officer with the Sea Fisheries Protection Authority, Dunmore East, Co. Waterford. EHOA | yearbook 10/11 55 TEN11 Logos and listings Logos and listings Enviroclad Systems Ltd Hygienic PVC Wall & Ceiling Cladding About Hygiene Ltd High Street, Ballinamore, Co Leitrim. Tel: 071 964 5111 Email: [email protected] Website: www.about-hygiene.com Contact: Evelyn Cafferty/Fiona McLoughlin Provide certified HACCP food safety & hygiene training & mentoring nationwide. Members of the Food Safety Professionals Association. 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Boner & Co Ltd 35 Western Parkway Business Centre Ballymount Drive Ballymount Dublin 12 Tel: 01 450 5050 Email: [email protected] Website: www.pjboner.com Contact(s): Patrick Michael Boner Calibration and sales of instrumentation and weighing products, including temperature, humidity, pressure and weighing products. thermometers/probes temperature monitoring/calibration www.ehoa.ie ReiTech Instrumentation Ltd Mount Pleasant, Dundalk Tel: 042 937 1043 Email: [email protected] Website: www.thermometer.ie Contact(s): Frank Reihill Thermometers, cooler boxes, probe wipes, calibration and repairs, see website for prices. Thermometers Cooler Boxes Probe Wipes Calibration www.thermometer.ie thermometers Safefood 7 Eastgate Avenue Little Island, Co. Cork Tel: 021 230 4100 Email: [email protected] Website: www.safefood.eu Contact(s): Dr. Gary Kearney, Director of Food Science Safefood promote food safety and healthy eating messages to consumers on the island of Ireland. food safety healthy eating calibration service Reitech Instrumentation Ltd Dundalk Tel 042 9371043 [email protected] Rototherm Ltd Unit C2 Clonlara Avenue Baldonnell Business Park Naas Road, Dublin 22 Tel: 01 466 0260 Email: [email protected] Website: www.rototherm.ie Contact(s): Maria Kenaney, Annemarie Delaney Over 60 years expertise in temperature monitoring for regulatory compliance in food, healthcare and pharmaceutical industries. Super Drain Ltd 112 Elm Road Western Ind Est Dublin 12 Tel: 01 409 7070 Email: [email protected] Website: www.superdrain.ie Contact(s): Stephen Meakin Drainage, grease traps, grease management, pump station, CCTV. drainage grease traps HACCP compliance instrumentation thermometers/probes temperature monitoring/calibration Tempcheck Noughaville Quin, Ennis, Co. Clare Tel: 065 6846857 Email: [email protected] Website: www.tempcheck.com Contact(s): Sean Dardis Sales of thermometers, dataloggers, distributors of Testo & Dickson products. thermometers/probes temperature monitoring/calibration EHOA | yearbook 10/11 57 TEN11 E H O A c o n t ac t s ENVIRONMENTAL HEALTH OFFICERS’ ASSOCIATION Heraghty House 4 Carlton Terrace Novara Avenue Bray, Co. Wicklow. Tel 01 2761211 Fax 01 2764665 Website www.ehoa.ie E-mail ; [email protected] Chairman Shane Keane Deputy Chairman Caitriona Stack Honorary Treasurer Noel Donnelly Honorary Secretary Jennifer Shorten P.R.O. Lisa Fitzpatrick Administration Deirdre Fitzsimons Amanda Noctor [email protected] [email protected] [email protected] DEPARTMENT OF HEALTH & CHILDREN Floor 2 Hawkins House Dublin 2 Tel: 01 6354400 ENVIRONMENTAL PROTECTION AGENCY EPA Headquarters PO Box 3000 Johnstown Castle Estate Co. Wexford Ireland Telephone: 053-9160600 Fax: 053-9160699 Lo Call: 1890 335599 FOOD SAFETY AUTHORITY OF IRELAND Abbey Court Abbey Street, Dublin 1 Tel: 01 8171300 Fax: 01 8171301 58 EHOA | yearbook 10/11 HEALTH & SAFETY AUTHORITY 10 Hogan Place, Dublin 2. Tel : 01 6620400 Fax : 01 6620417 HEALTH SERVICE EXECUTIVE Assistant National Director National Environmental Health Office 2nd Floor, Oak House, Limetree Avenue Millenium Park, Naas Co. Kildare Tel: 045 880442 Fax: 045 882554 For a list of Environmental Health Offices please link on : www.hse.ie/eng/services/ Find_a_Service/Environmental_ Health/Environmental_Health_ Officers/ HEALTH PROTECTION SURVEILLANCE CENTRE 25-27 Middle Gardiner Street, Dublin 1, Ireland. Phone +353 1 8765300 Fax +353 1 8561299 HIQA Head Office Unit 1301, City Gate, Mahon, Cork Tel : 021 2409300 Fax : 021 2409600 Smithfield Office George’s Court, George’s Lane, Dublin 7. Tel : 01 8147400 IRISH MEDICINES BOARD Irish Medicines Board, Kevin O’Malley House, Earlsfort Centre, Earlsfort Terrace, Dublin 2, Ireland. Tel: 353-1-676 4971 Tel: 353-1-676 4976 Fax: 353-1-676 7836 NATIONAL HYGEINE PARTNERSHIP Abbey Court, Block B, Lower Abbey Street. Dublin 1. T: +353-1-448 0614 F: +353-1-448 0699 OFFICE OF TOBACCO CONTROL Willow House Millenium Park Naas Co. Kildare Tel: 045 852700 e-mail: [email protected] web: www.otc.ie PUBLIC ANALYST’S LABORATORY Public Analyst’s Laboratory, St. Finbarr’s Hospital, Douglas Road, Cork. Tel: 021 4923245 Fax: 021 4923367 Public Analyst’s Laboratory, Sir Patrick Duns, Lower Grand Canal Street, Dublin 2. Also incorporates an Official Food Microbiology Laboratory. Tel: 01 6612022 Fax: 01 6628532 Dublin Public Health Laboratory, Cherry Orchard Hospital, Dublin 10. Tel: 01 6206175 / 76 Fax: 01 6231908 Public Analyst’s Laboratory, Seamus Quirke Road, University College Hospital, Galway. Tel: 091 581122 Fax: 091 581212 RADIOLOGICAL PROTECTION INSTITUTE OF IRELAND 3 Clonskeagh Square, Dublin 14 Ireland Tel: +353-1-2697766 Fax: +353-1-2697437 SAFEFOOD 7 Eastgate Ave Eastgate Business Park Little Island, Co. Cork. Tel : 021 2304100 Fax : 021 2304111 LoCall 1850 40 45 67 SEA FISHERIES PROTECTION AUTHORITY Park Road, Clogheen, Clonakilty, Co. Cork Tel: 023 8859300 Fax: 023 8859720 Web: www.sfpa.ie Email: [email protected] R.E.H.I.S. 3 Manor Place Edinburgh EH3 7DH, Scotland Tel : 00441312256999 Fax : 00441312253993 C.I.E.H. Chadwick House Chadwick Court 14 Hatfields, London SE1 8DJ Tel : 00442079286006 Fax : 00442078275865 CIEH NI Philip House 123 York Street Belfast, BT15 1AB 028 90243884 DEPARTMENT OF THE ENVIRONMENT NORTHERN IRELAND Environment & Heritage Service Calvert Place, , Belfast Tel: +44 2890254754 Fax: +44 90254865 FOOD STANDARDS AGENCY 10b & 10c Clarendon Quay Clarendon Dock Clarendon Rd, Belfast Tel: +44 2890417700 Fax: +44 90417726 COLLEGES DUBLIN INSTITUTE OF TECHNOLOGY School of Food Science and Environmental Health Cathal Brugha St. Dublin 1, Ireland Tel: + 353 01 402 4355 UNIVERSITY OF ULSTER Jordanstown Shore Rd, Newtownabbey, Co. Antrim Tel: +44 2990365131 Fax: +44 2890366840 www.ehoa.ie TEN11 www.ehoa.ie EHOA | yearbook 10/11 59 TEN11 1 in 3 retailers is willing to sell cigarettes to minors Source: OTC National Tobacco Retail Audit 2009 60 EHOA | yearbook 10/11 LoCall 1890 333100 www.ehoa.ie