Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit

Nürnberg, Germany

Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit

Nürnberg, Germany

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Background: For the production and distribution of food in the hospital setting it must be considered that a fairly big and eventually vulnerable group of persons has to be provided for. The transport of food over sometimes long distances, extended times between delivery and consumption as well as special offers like breakfast or lunch buffets on certain wards pose specific risks and require particular care with handling, production, distribution of food. Method: In the course of two independent monitoring programs an interdisciplinary team monitored hospital kitchens and buffets on wards regarding the management of infection prevention during production and distribution of food. The focus thereby was put on the monitoring of production processes and internal monitoring processes. Results: Several weak points were determined during the examinations. These points are analyzed, described, discussed and evaluated in the context of existing regulations. Deficiencies were mainly found in the production process, the transport and distribution of food as well as infection prevention interventions by the employees. Only cold food was offered in form of buffets. Conclusions: Due to the characteristics of the provision of patients, legal regulations for food safety must be followed consequently in terms of preventive consumer's protection. Reasonable monitoring activities by the food control administrations play an important role in this concern. Interdisciplinary cooperation with public health authorities is constructive and desirable.


Ertl C.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit
Hygiene + Medizin | Year: 2017

Food supply does not only include methods of production, but also the processing, marketing, preparation of food and the disposal of packaging waste and organic waste. In the medical facility, patients should receive healthy and tasty food. The choice of a suitable food supply concept depends on many factors; the manufacturing process should for instance meet applicable legal requirements and relevant quality requirements. Regardless of the production system, any health hazard during food preparation has to be excluded. Next to the aspect of a low immune status of patients, a hygienic production process has to be considered as equally important as the safety of individual components and the food that has been produced from them. There are also special nutritional requirements and diets of individual patient groups that have to be taken into consideration. Catering systems can be differentiated by the thermal coupling and decoupling of production and output. Besides the traditionally applied cook & serve concept there are also modern systems (cook & chill, Sous-Vide, cook & freeze) which can be applied. Food distribution appears like an interface between the hospital kitchen and the patient, whereby it is essential that the produced hot food has to show a temperature of at least 65 °C and cold food a maximum of 7 °C when given out to the patient.


Kuhn J.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Trojan A.,Universitatsklinikum Hamburg Eppendorf
Gesundheitswesen | Year: 2010

Health promotion, as laid down in the Ottawa Charta by the World Health Organisation, embraces the call for self-responsibility. Self-responsibility, however, is not merely directed towards apparently personal risk factors. The Ottawa Charta clearly puts health in a wider societal context and follows the line of early social medicine, which, as Virchow put it, understood politics as medicine on a large scale. With the increasing dominance of neoliberal thinking during the 1990s, this view of health in its societal context was pushed aside to make way for an individualistic understanding of self-responsibility. At the same time a resurgence of expert-led prevention strategies could be observed. Recently, however, the discussion on self-responsibility appears to be regaining societal aspects. The task on hand is, to support this societal approach to health whilst at the same time to ensure the field of health promotion does not overstretch itself. © Georg Thieme Verlag KG Stuttgart - New York.


Eisenberg T.,Landesbetrieb Hessisches Landeslabor | Kutzer P.,Landeslabor Berlin Brandenburg | Peters M.,Chemisches und Veterinaruntersuchungsamt Westfalen | Sing A.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | And 2 more authors.
Emerging Infectious Diseases | Year: 2014

Corynebacterium ulcerans may cause diphtheria in humans and caseous lymphadenitis in animals. We isolated nontoxigenic tox-bearing C. ulcerans from 13 game animals in Germany. Our results indicate a role for game animals as reservoirs for zoonotic C. ulcerans.


Hiebl J.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Lehnert K.,University of Hohenheim | Vetter W.,University of Hohenheim
Journal of Agricultural and Food Chemistry | Year: 2011

In this study, we identified and quantitated a tetrachlorinated compound found at high concentrations in some samples of the meat of free-ranging wild boar (Sus scrofa) from Southern Germany. Mass spectrometric analysis indicated that the compound was a tetrachloromethoxyphenol isomer, and the subsequently synthesized tetrachloro-p-methoxyphenol was identical with the unknown compound in wild boar. Tetrachloro-p-methoxyphenol is a known secondary metabolite of basidiomycetous fungi, which in turn are regular feed items of the wild boar. It is extremely likely that the wild boar have accumulated tetrachloro-p- methoxyphenol by exploiting basidiomycetes. The highest concentration in the samples (n = 22) was ∼1 mg/kg lipids tetrachloro-p-methoxyphenol. This concentration was higher than that of polychlorinated biphenyls (PCBs) and dichlorodiphenyltrichloroethane (DDT) in any of the samples. Some samples did not contain tetrachloro-p-methoxyphenol, which indicates varied preferences in fungi by wild boars. Our data suggest that during their entire evolution, humans have been in contact with the natural product tetrachloro-p-methoxyphenol by consuming wild boars. © 2011 American Chemical Society.


Barnsteiner A.,TU Munich | Lubinus T.,TU Munich | Di Gianvito A.,TU Munich | Schmid W.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Engel K.-H.,TU Munich
Journal of Agricultural and Food Chemistry | Year: 2011

Approaches for the capillary gas chromatographic (GC) based analysis of intact plant stanyl esters in enriched foods were developed. Reference compounds were synthesized by enzyme-catalyzed transesterifications. Their identities were confirmed by means of mass spectrometry. Using a medium polar trifluoropropylmethyl polysiloxane stationary phase, long-chain plant stanyl esters could be separated according to their stanol moieties and their fatty acid chains. Thermal degradation during GC analysis was compensated by determining response factors; calibrations were performed for ten individual plant stanyl esters. For the analysis of low-fat products (skimmed milk drinking yogurts), the GC separation was combined with a "fast extraction" under acidic conditions. For fat-based foods (margarines), online coupled LC-GC offered an elegant and efficient way to avoid time-consuming sample preparation steps. The robust and rapid methods allow conclusions on both, the stanol profiles and the fatty acid moieties, and thus provide a basis for the authentication of this type of functional food ingredients. © 2011 American Chemical Society.


Scharte M.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Bolte G.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit
Gesundheitswesen | Year: 2012

Background and Aim: In Germany the risk for relative poverty has increased profoundly during the last 15 years, especially among single parent families. As poverty is often associated with bad health we examined the physical and mental health as well as health-related behaviour, housing and environmental conditions in children with lone mothers versus children in couple families. Study Population and Methods: In 3 cross-sectional surveys conducted during 2004-2007 in 3 cities and 3 rural areas in Bavaria data on 19 039 pre-school children (47% female) were collected. Health, behaviour and exposure assessment was based on parental reports. The 18 327 cases with complete information on family status were analysed. 10% of the children grew up with single mothers. Results: Single mothers evaluated the general state of health of their children more often as moderate to very poor than couple parents (OR [95% CI]: male: 1.37 [1.07-1.77], female 1.77 [1.33-2.35]). Sons with single mothers were more often obese (1.44 [1.09-1.90]). They scored significantly higher in the SDQ total difficulties score (1.94 [1.44-2.62]), on the emotional problem scale (1.91 [1.40-2.59]) as well as on the hyperactivity scale (1.82 [1.35-2.47]) compared to boys from couple families. No difference was found in prosocial behaviour. Girls with single mothers revealed more often conduct problems 1.36 [1.02-1.81] compared to those from couple families. They also showed a significantly higher prevalence of asthma (2.06 [1.29-3.30]). Children living with their single mothers were less often members of sports clubs and the boys were less physical active. No difference was found regarding the consumption of fruits and vegetables. Single mother family was associated with children's environmental tobacco smoke exposure at home (2.03 [1.79-2.29]). Single mothers perceived higher environmental exposures to noise and air pollution, suffered more often from a lack of accessible green spaces in the neighbourhood and reported a higher traffic load on the residential street. Conclusion: Children with single mothers reveal increased health risks and live under significantly poorer housing and environmental conditions. Further analyses are necessary to identify the mediating factors. © Georg Thieme Verlag KG Stuttgart · New York.


Weigl L.B.,Ludwig Maximilians University of Munich | Wildner M.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit
Dermatologie in Beruf und Umwelt | Year: 2011

A case control study was performed in a selected hand eczema population of 132 patients to analyse a possible association between the lifestyle factor tobacco smoking and vesicular (dyshidrotic) hand eczema.We could identify a slight trend association between smoking and vesicular hand eczema also in an adjusted model but not a significant one. Data from some previous studies are in line with our results. This study in selected hand eczema population confirmed that dyshidrotic hand eczema is associated with nickel sensitization and an age under 38 years. General population studies showed an association between nickel sensitization and smoking. In future studies the relationship smoking and dyshidrotic hand eczema remains to be determined convincingly. © 2011 Dustri-Verlag Dr. Karl Feistle.


Wildner M.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit
Gesundheitswesen | Year: 2012

Disease prevention and health promotion can be understood as being complementary to each other in the context of stress reduction (disease prevention) and strengthening of resources (health promotion). This implies change. The desired improvement aims at personal behaviour, concomitant resources and conditions and political processes. In line with this aim, there is exchange and transfer at the interfaces science-practice, science-politics and politics-practice, which are often not successful. With reference to results of the working groups on practice transfer and policy transfer of the cooperation for sustainable prevention research, 10 theses are formulated for an effective transfer management. An explicit and explicitly funded transfer research in disease prevention and health promotion is advisable. © Georg Thieme Verlag KG Stuttgart · New York.


Kandler U.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit
Public Health Forum | Year: 2014

The Bavarian National Working Group Antibiotic Resistent Pathogens addresses to the task of reducing these pathogens in the bayarian health system. This aim can only be reached, if the institutions of the health system all pull together and take care to implement consistent strategies in the fight against pathogens with antibiotic resistance.

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