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WHO EU chief: Number of people sick from unsafe food is unacceptable

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A regional director for the World Health Organization said the number of people who get sick or die from unsafe food is “staggering” and “unacceptable”.

Foodborne diseases affect more than 23 million people in Europe and Central Asia each year, affecting the poor and the young in particular. Such a disease is responsible for 5,000 preventable deaths annually, according to WHO statistics from 2015.

Hans Kluge, WHO Regional Director for Europe, said the region can and must get better.

“The staggering number of people who get sick or die after eating unsafe food in our region is unacceptable. Food safety is a highly complex health issue in which several national and international actors are involved. Over 200 diseases are caused by the consumption of food contaminated with bacteria, viruses, parasites or chemical substances, ”he said during a webinar on World Food Day.

“In recent years, food safety in the region has been influenced by new developments that have changed the conditions in which food is produced, processed, traded and consumed. The globalization of the food chain has changed consumer habits and international trade in food and agricultural products is greater than before. This complexity increases the risk of unsafe food spreading across borders and affects the way we deal with food safety risks.

“COVID-19 has presented manufacturers and food safety authorities with additional challenges. This includes the need to implement measures to control and reduce the risk of transmission in food companies. The WHO EU supports its 53 member states in strengthening food safety. Today should encourage action at all levels to prevent, detect and manage food safety risks in the region. “

Growing interest in the region
More than 200 participants attended the virtual event organized by the Food and Agriculture Organization (FAO) of the United Nations and WHO, which can be seen here.

Vladimir Rakhmanin, FAO deputy director general and regional representative for Europe and Central Asia, said food safety has always been a priority for the region.

“We recognize the continuing efforts of member countries to continuously improve their regulatory framework, scientific and technological capacities for official controls in order to protect consumers and enable farmers and businesses to comply with food safety requirements and to have access to local, regional and international standards Markets, ”he said.

“Food safety is growing in importance across the region as more activities and projects are implemented. As we seek more investment and awareness of food safety, we reaffirm support and commitment to working with partners and governments to step up efforts, including strengthening resilient, well-functioning and safe food value chains.

“Among the many lessons learned during the COVID-19 pandemic, the last 15 months’ experience has raised awareness of the importance of demonstrating compliance with food safety requirements as a prerequisite for market access. Food safety risks and threats can easily be transferred from one country to another, and unsafe food can quickly spread to many countries. “

Real threats vs. perceived concerns
Delia Grace, professor of food safety systems at the University of Greenwich, said food safety was once not a priority for low and middle income countries.

“The 2015 WHO report found that the health burden from food safety was equivalent to that of HIV, tuberculosis or AIDS, making food safety high on the list of concerns about people in developing countries. This has always been a priority in high-income countries, also because we have more or less got rid of most infectious diseases, ”she said.

Delia Grace

Grace, a contributing scientist at the International Livestock Research Institute (ILRI), said there can be many dangers in the informal sector, such as aflatoxins in milk from Nairobi, Bacillus cereus in boiled milk in Abidjan, Staphylococcus aureus in farmed fish in Egypt, trichinella in Pork in Uganda and Listeria in milk and fish in Ghana.

“This is a saying we have in food safety. What you worry about and what kills you are not the same thing. I bet maybe half of the participants are more worried about GMOs, pesticides, antibiotic residues and are less worried about germs than they think they can handle germs, ”she said.

“When we did this in Vietnam, we asked people what their concerns were and they were very concerned about chemicals and not very concerned about germs. We knew this was wrong as we are food safety specialists, but they didn’t believe us so we had to do the tests. We found that only 1 percent of 366 kidney, liver, and pork samples were above legal limits, and they had little effect because they were so low, but when we looked at the germs, 13 percent of people got sick each year of salmonellosis. “

Experts can be wrong too, Grace said, citing an upcoming World Bank study comparing expert statements with the WHO estimated exposure.

“Experts were very concerned about anthrax and brucella, but if you looked at the levels, it was much more likely E. coli and salmonella,” she said.

Impact of COVID on food safety and the EU on WFSD
Food safety expert Leon Gorris presented a study commissioned by the WHO and FAO to investigate whether COVID-19 has changed the way people deal with food safety risks in Europe and Central Asia.

Leon Gorris

The research involved 22 countries, 18 government agencies, 13 private companies and six consumer groups on the effects of COVID-19 on food safety and food fraud.

“Of the 18 agencies, many of them were affected in terms of resources and the way they were able to conduct their food safety processes. Some employees have had to deal with other activities that support public health measures in food companies, such as measures to contain COVID-19. Quite a few authorities had fewer people available for food safety. The way they responded to this challenge was to focus on essential food safety operations, high risk companies that normally handle food of animal origin. People couldn’t visit the premises to do an inspection so they had to use new virtual platforms to interact with food companies, ”said Gorris.

“We have heard from the government that they are confident that essential food safety supply chains will continue to operate without impact. Some organizations, such as the European Union, allowed regulatory flexibility to focus on high-risk operations. We do not yet know whether there has been an increase in disease or food fraud.

“Food companies had to cope with implementing new measures against COVID and economic downturns, but by and large they felt confident that food safety was not affected and they did not need to change their food safety management systems. The new virtual way of working was something they had in mind. They experienced online audits and certifications, and some of those simplifications could remain in the post-pandemic. We heard from consumers that they believed in the safety of food but were initially very concerned and not well informed. Consumer awareness of hygiene as part of food safety to which they can contribute has increased. “

In a separate statement, EU Health and Food Safety Commissioner Stella Kyriakides said the safety of food produced and consumed around the world is the starting point of the European farm-to-table strategy.

“Our food policy is based on the highest food safety standards to protect consumers. We have strict laws and a solid control and traceability system that covers all stages of food production, processing and distribution. For over 40 years, the EU’s rapid alert system for food and feed has ensured that urgent food and feed risk warnings are responded to immediately, ”she said.

“The safety of our food is more important than ever and I look forward to the UN Food Systems Summit this September and my strong support for transformative changes in the way the world produces and consumes food.”

(To sign up for a free subscription to Food Safety News, click here.)

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Judge rules in favor of Dougco schools in civil lawsuit

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Douglas County schools filed a civil lawsuit against the newly formed health department on Wednesday, October 20.

DOUGLAS COUNTY, Colorado – A U.S. District Court judge in Denver issued an injunction to stop the Douglas County Board of Health’s school mask exemption.

The decision was made on Tuesday afternoon after the two sides presented their arguments on Monday and Tuesday.

> The video above is from October 21st when the Dougco Schools filed their civil lawsuit.

On Friday, October 8th, the health department approved a public health order that would allow parents or guardians to exempt their children from masking requirements by filing an application “because of the adverse effects on their physical and / or mental health Person ”in writing and signed. “

The school district said public health regulations ignore science and guidance on how to contain COVID-19 and put the health and learning of vulnerable students – those with chronic illnesses, respiratory problems and other serious health challenges – at risk.

RELATED: Douglas County’s Health Department Approves Public Health Order Granting Parents Power To Relieve Their Children From Wearing Masks

Eighteen students, whose only identifiers are initials, are listed as joint plaintiffs in the lawsuit. In a press release announcing the lawsuit, the school district gave examples of some of the disabilities that co-plaintiffs put at high risk when contracting COVID-19:

“Students with certain disabilities or illnesses are at greater risk of developing serious, life-threatening illnesses, and it is our responsibility as a school district to ensure that every student receives an inclusive, friendly public education – a responsibility the district takes very seriously. The message is simple: In these very complex times, our weakest children must not be left behind. Everyone wants a return to normal, but a return to normal cannot come at the expense of those with chronic and severe health problems. That is why this legal step is being taken. ”

Last week, Doug Benevento, president of Douglas County Board of Health, told 9NEWS the board was confident their order struck the right balance for masking requirements in schools.

“We are confident that our arrangement strikes the right balance with the mask requirement in our schools. Our arrangement enables masking, but offers exceptions for parents with children who would be negatively affected by a blanket mask requirement from a health or psychological point of view, ”said the statement. “The pending lawsuit by an asthmatic student against the school district alleging against the [Americans with Disabilities Act] shows that a blanket mask mandate does not create this balance. Our order is also more proactive than any of the requirements the state of Colorado currently has. “

RELATED: No, Disposable Masks cannot be recycled at most municipal recycling centers

RELATED: Confusion Over Douglas County’s New Child Public Health Ordinance and Masks

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https://www.youtube.com/watch?v=videoseries

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Reactive Attachment Disorder: Symptoms, Treatment

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Reactive attachment disorder, also known as RAD, is a mood or behavior disorder that affects babies and children. It includes difficulties with bonding and relationship building, as well as social patterns that are inadequate but without an intellectual disability or profound developmental disorder (such as autism) to explain these characteristics.

In addition, the reactive attachment disorder is caused by some type of caring problem, e.g.

The term “reactive attachment disorder” is sometimes abbreviated to “attachment disorder”, but reactive attachment disorder is actually a type of attachment disorder.

aquaARTS studio / Getty Images

Reactive attachment disorder vs. disinhibited social attachment disorder

Attachment disorders are sometimes described as inhibited or uninhibited. These terms are used to describe the behavior of babies and young children.

Children who fall into the category of inhibited difficulty regulating their emotions, who do not prefer specific adults or caregivers, do not seek consolation from the caregiver, or show much affection or a combination of these behaviors. On the other hand, children who fall into the category of inhibitions may be evenly or excessively preoccupied with all adults, including strangers, and they do not have a preference for primary caregivers.

The reactive attachment disorder is the inhibited form of the attachment disorder. There used to be only one diagnosis of both inhibited and uninhibited attachment, but that has changed with more recent research. The disinhibited type of attachment disorder is known as disinhibited social engagement disorder, or DSED.

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The characteristics of reactive attachment disorder are the inhibited type, which means that the child behaves in a way that shows little or no attachment to the parents or other caregivers. This is seen in babies and young children. They are unable to form healthy and secure bonds with their parents or primary caregivers.

Symptoms of reactive attachment disorder

Symptoms of RAD include:

  • Avoiding comfort during stress
  • Avoidance of physical contact
  • Difficulty dealing with emotions
  • Don’t be concerned if left alone
  • Avoid making eye contact, smiling, or engaging
  • Emotional distance
  • Excessive rocking or self-calming
  • Inability to show guilt, remorse, or regret
  • Inconsolable crying
  • Little or no interest in interacting with others
  • Must be in control
  • Tantrums, anger, sadness

diagnosis

Reactive attachment disorder can be diagnosed by a psychiatrist such as a child psychiatrist or psychologist. They do this by assessing the child against the diagnostic criteria of the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). They then assess the child on how the symptoms affect their ability to function.

Diagnostic criteria for reactive attachment disorders

  • Patterns of not seeking consolation or not reacting to emergency situations
  • Two or more forms of social and / or emotional stress, such as B. minimal engagement with others, limited positive affect, and episodes of inexplicable irritability or anxiety in non-threatening interactions with caregivers
  • A history of unmet needs, changes in caregivers, or an unusual environment that prevents attachment
  • Does not meet diagnostic criteria for an autism spectrum disorder
  • Behavioral symptoms that started before age 5
  • At least 9 months old, measured as developmental age

causes

The specific causes of reactive attachment disorder are not as simple as they may seem. While child abuse and neglect can lead to attachment disorders, there is more to it than that. Children who receive inconsistent care or are placed with new primary caregivers are also at increased risk of reactive attachment disorder. This can happen even when parents and other caregivers mean well and do their best.

Children may experience an event or challenge that is not overtly harmful, such as moving geographically or something that cannot be avoided, such as the death of a family member. Even if they are too young to understand what is happening, they may not feel loved, are insecure, or cannot trust their caregivers.

Causes of a reactive attachment disorder

Possible causes of RAD are:

  • Attention only if the child behaves incorrectly (only negative attention)
  • To be left alone for hours without interaction, touch or play
  • Emotional needs are not consistently met
  • Experiencing trauma or a very frightening, difficult event
  • Having an emotionally unavailable parent
  • Hospitalization
  • Inconsistent care or response to needs
  • Loss of a caregiver or other family member, e. B. a sibling
  • Multiple main caregivers or change of caregivers
  • Neglect or abuse by parents, caregivers, or others
  • Not being comforted when crying or in despair
  • Not being fed for hours if you are hungry
  • Have not changed a diaper for hours
  • Only some needs are met, or needs are only met sometimes
  • Physical needs are not consistently met
  • Separation from parents or other caregivers

treatment

Treatment for reactive attachment disorder goes beyond the child alone. The whole family can be involved to support healthy bonding. The process involves a combination of talk therapy, other therapies, and education that will benefit children as well as parents and other caregivers.

Treatment of reactive attachment disorders

Treatment options for RAD include:

  • Family therapy with child and carer
  • Parent courses to learn effective strategies
  • Play therapy with the child to teach social and other skills
  • Teaching social skills in a different way
  • Special educational offers at schools
  • Talk therapy with the child, the caregivers, or both

Coping

Managing reactive attachment disorder involves strategies to support both the child and the adults who interact with the child. This is because the bond between children and their caregivers involves two or more people, and their interactions can help create a more secure bond. For this reason, coping includes support, self-care, and stress management for adults, as well as healthy eating and adequate sleep and physical activity for children and adults.

A word from Verywell

If your child or someone you know is struggling with attachment issues, help is available. Even if your child is diagnosed with reactive attachment disorder, it does not mean that it was caused by you or that it was your fault. Sometimes things happen that are beyond your control, no matter how hard we try. The main concern is that the child is getting the care they need.

Contact a family doctor, general practitioner, or psychologist for support for the child. It is also important that you and other primary caregivers of the child have all the support they need to care for the child.

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Respiratory illness cases climb, health experts recommend COVID-19, flu vaccines

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As Johnson County sees an increase in COVID-19 cases, public health experts are also seeing increases in RSV, the common cold, parainfluenza and other cases of respiratory illness.

Testing centers and public health experts in Johnson County are seeing more cases of other respiratory diseases year-on-year, while COVID-19 numbers are rising due to the contagious Delta variant.

Johnson County is considered an area with high transmission of COVID-19, according to the Centers for Disease Control and Prevention. The CDC recommends that everyone wear a mask in indoor public spaces.

On October 25, 188 cases were reported in Johnson County in the past seven days, according to the CDC. The fall rate per 100,000 for the county is 124.39 and there is a positivity rate of 5.37 percent.

While those numbers remain high, Bradley Ford, clinical associate professor of pathology at the University of Iowa’s Carver College of Medicine, said cases of other respiratory diseases are also increasing in the community.

“The most remarkable thing about last year is that there were no respiratory viruses, which means there was no flu season,” said Ford. Cases like ever before. “

Ford said this year had a peak of cases going back to 2017 when he started work in the pathology lab at UI Hospitals and Clinics.

Last year there were almost no cases of respiratory syncytial virus, known as RSV, compared to 45 to 50 per day this year, said Ford. RSV acts like the common cold and causes mild symptoms, but it can affect older adults and little ones Children who are not vaccinated can be dangerous, he said.

Johnson County’s disease prevention specialist Jennifer Miller said the county hasn’t seen any flu cases this season but recommends people get the vaccine as soon as possible.

“We have seen more cases of RSV, the common cold and other respiratory viruses than last year,” Miller said. “This shows that people have masked themselves and have been more attentive to social distancing and were more careful about being around other people.”

Despite the rise in respiratory viruses, Miller said this was not a concern. After seeing what Australia and other southern hemisphere countries were experiencing, public health experts expected a surge in respiratory viruses, she said.

According to the Australian Ministry of Health, 550 cases of flu have been reported since April 2020, compared with 3,000 to 25,000 cases per week in recent years.

For people with a runny nose, cough, fever, and other symptoms of respiratory illness, Miller said it was best to contact health care providers. From then on, she said it was important to follow recommendations for testing.

“Most respiratory diseases will look very similar to what we see with COVID,” Miller said. “It’s hard to tell without testing, unless you know you’ve had a specific exposure.”

People should get a flu shot, and it’s widely available in pharmacies, hospitals, and other places, Miller said. Anyone who isn’t insured can schedule an appointment for a free flu vaccine through Johnson County Public Health, she said.

RELATED: Iowa City Schools That Want To Offer Rapid COVID-19 Testing To Students

Lisa James, Assistant Director of Quality Improvement and Strategic Communications at UI Student Health, said UI Student Health has a wide range of Pfizer BioNTech vaccines. Now UI Student Health is waiting for booster doses for Pfizer, Moderna and Johnson & Johnson, she said, which they will hopefully make available soon.

“Everyone should get a COVID shot when we go into the fall and winter flu seasons,” said James. “Students should also get the flu vaccine as recommended by the CDC.”

James said flu vaccinations are available and cost $ 62, which is usually covered by insurance. She said students can also deduct this fee from their U-bill.

Students can go to the Iowa Memorial Union Nurse Care Clinic without an appointment to get their flu shot, James said in a press release. The opening times are Monday to Thursday from 8:30 a.m. to 5:00 p.m. and Friday from 9:30 a.m. to 5:00 p.m.

James said students can call the main clinic in Westlawn, the main health and wellness location for students, to schedule an appointment for a flu shot, which has the same opening hours as the IMU clinic.

With the increase in other respiratory diseases, Ford is hoping for an easier flu season from November to April.

“Nobody can really predict what a respiratory virus season will be like,” said Ford. “Nobody has predictions this year, but we know it’s safest and best to get vaccinated.”

Miller said the best way to protect yourself and your families is to get vaccinated.

“People can get the flu shot and the COVID vaccine at the same time,” Miller said. “Most people who are vaccinated and become infected are likely to have only mild illness compared to people who are not vaccinated.”

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