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Municipal Health

World Environmental Day Celebrated at Plettenberg Bay Secondary School

On Tuesday, 24 July 2018, Environmental Health Practitioners (EHPs) of one of the Eden District Municipal Sub-Offices in Bitou, celebrated World Environmental Day, at Plettenberg Bay Secondary School. The purpose of the visit was to create awareness among learners about the various types of pollution, the risks posed by pollution in communities, hazards of pollution and how pollution can be prevented.

Ms Maxwelline Fatuse, Eden DM Environmental Health Practitioner, did a presentation on water quality.

The following environmental pollution control risks topics were presented: 
•    Waste Management (Recycling and Illegal Dumping);
•    Water Quality; and
•    Food Safety and Hygiene.

Grade 10 and 11 learners attentively listened and enthusiastically participated in the topics which are known to them, as it is integrated in their curriculum CAPS for Life Sciences.

Ms Zoleka Goniwe, EHP of the Plettenberg Bay office, outlined the importance of food safety and hygiene.

The work done by EHPs were also showcased at an exhibition exclusively put together for the learners, especially aimed at the well-being of the environment. These days, the function of Environmental Health is a critical field and can only grow as the world population increases.

Eden DM Waste Management Officer, Mr Johan Gie, presented about recycling and illegal dumping prevention.

 

Food Safety along the Food Chain explained

What is food safety?
Food safety is a scientific discipline, which describes the handling, preparation, and storage of food in ways that prevent foodborne illnesses. The WHO defines ‘Food Safety’ as the assurance that food will not cause harm to the consumer when prepared and/or eaten in accordance with its intended use. ‘Food Hygiene’ is defined as all the measures necessary to ensure the safety, soundness and wholesomeness of food at all stages from its production or manufacturing until it is consumed.

Why is food safety important?
The purpose of food safety is to ensure that FOOD IS SAFE TO EAT in order to protect the consumer.

Contaminated food and water are the biggest sources of food borne illnesses that affect people, particularly in South Africa. This phenomenon is also true throughout the world. The problem does not discriminate between rich or poor countries, but in both cases, contaminated food imposes substantial health burdens, ranging in severity from being mildly sick to fatalities.

Food safety is an increasingly important public health issue and according to the World Health Organisation (WHO), governments all over the world are intensifying their efforts to improve food safety. This is largely due to rapid globalisation, overpopulation and the importance of the safety when food gets transported from one country to another. Together with this, there has been a dramatic increase in the number of people travelling internationally for, amongst others, sport, tourism and business purposes etc.

Food safety in South Africa safety in South Africa
The services rendered by health authorities in South Africa aims at ensuring that the food consumers are not exposed to food that causes any harm. This is also referred to as “Food Safety Control” and can be defined as a mandatory regulatory activity of enforcement by the relevant health authority. Consumer protection has to be provided and it needs to be ensured that all foods are safe during production, handling, storage, processing, and distribution phases. Food has to be fit for human consumption and conform to safety requirements as prescribed by law and the World Health Organisation (WHO).

Legislation exists to ensure that all foodstuffs and food handling facilities comply with health standards that protect consumers from unsafe food or conditions that are unhygienic.

Although South Africa is considered a developing country, the food industry of the country can be considered as a well-developed and sophisticated sector, geared towards safeguarding the needs of consumers through both the formal and informal sectors of the country’s economy. This includes the entire food chain:

A consumer’s role in the food chain
One might assume that the buck stops at the food producer or trader, or a government authority responsible for enforcing regulations, but this is a myth. Neither the government nor the food producer and traders can ensure that a food consumer practices hygiene standards and food safety at home. Or that consumers willfully support businesses who do not possess a “Certificate of Acceptability”. Consumers also have to act responsibly and report instances where foul play is suspected. All food traders must, therefore, at all times, clearly display their “Certificate of Acceptability”, where they trade; otherwise, Government cannot be held liable for any unintended consequences which may result by negligent food traders and producers.

  • Food production on farms
  • Processing at factories
  • Selling at the retail level (Wholesalers, Supermarkets and Spaza shops)
  • Ready to eat meals (hotels, catering businesses, restaurants, fast food outlets, street food vendors, etc.)

Environmental Health Practitioners (EHPs) conduct daily inspections 
According to the myriad of responsibilities of EHPs, Food Control is one of the areas which require the most time and complex responsibilities.
Food Control relates to a mandatory regulatory activity of enforcement to provide consumer protection and to ensure that food is:

  • handled in a hygienic manner during production, storage, processing, distribution and sale;
  • safe, wholesome and fit for human consumption and conforms to safety, nutrition and quality requirements; and
  • honestly and accurately labelled as prescribed by law.

The role of the Environmental Health Practitioner includes, but is not limited to the following:

  • Inspection of food premises and  vehicles
  • Compliance monitoring in terms of legislative requirements and provisions and instituting remedial and preventative measures
  • Issuing of certificates of acceptability
  • Examination, sampling and analysis of foodstuffs
  • Examination of food labels
  • Reaction  to  complaints
  • Law enforcement by serving compliance notices or if deemed necessary  by issuing “summonses to appear in Court” notices (Sect 56 of Criminal Procedures Act. 1977)
  • Export control when requested
  • Provision of information
  • Health promotion and training

Legislation around food control and safety

  • The Constitution of South Africa 1996, (Act 107 of 1996)
  • National Health Act 2003, (Act no 61 of 2003) as amended
  • Foodstuffs, Cosmetics and Disinfectants 1972, (Act 54 of 1972)
  • Guidelines for an Environmental Health Officer (EHO) Engaged in the evaluation of food premises within the HACCP principles, Department of Health

Directorate: Food Control

For more information, consult the Environmental Health Practitioner at Eden District Municipality, Community Services Department, Municipal Health Services’ Office at 044 -8031522. Or visit the office at Mission Street, Roads Department, George Industria.

Eden District Municipal Health Office in Mossel Bay donated dog food to the Mossel Bay SPCA

“100 Nelson Mandela Centenary 2018” Celebrations

Officials from the Eden District Municipal Health Office in Mossel Bay donated dog food to the Mossel Bay SPCA and also used the opportunity to play with the dogs at the facility. Executive Deputy Mayor of Eden District Municipality, Cllr Rosina Ruiters, Cllr Erica Meyer, Mr Wayne Odendaal, Ms Marlene Losper, Dr Johann Schoeman, Ms Jenay van Niekerk and Mr Angus Andries, participated in the initiative.

Kennel Manager of the facility, Ms Jolandi Esterhuizen, thanked the team and received the items on behalf of the facility.

Municipal Health in George celebrated Mandela Day with clean-up operation

“100 Nelson Mandela Centenary 2018” celebrations

Officials from the Eden District Municipal Health office in George celebrated “Mandela Day” by means of a clean-up operation at the Molen River in Thembalethu, George.

This operation was carried out in collaboration with the following stakeholders: Breede-Gouritz Catchment Management Agency, DWS, Cape Nature, George Municipality (Waste Management & Expanded Public Works Programme) and a few community members of Thembalethu. Instead of 67 minutes, 100 minutes were devoted to the initiative as part of the “Nelson Mandela Centenary 2018” celebrations.

Eden DM Municipal Health in Hessequa visited Kruisrivier and Goedgegund Primary schools

“100 Nelson Mandela Centenary 2018” celebrations

The Eden District Municipal Health Office in Hessequa visited the Kruisrivier and Goedgegund Primary schools (rural schools) where the team donated pencil bags, water bottles and school clothes to the learners.

It is always heart-warming to see the smile on the face of a child. However, the team feels it is disappointing that they “can not reach out to communities in this way, on a regular basis”.

 

Municipal Health officials in Bitou visited the New Life Creche in Qolweni

“100 Nelson Mandela Centenary 2018” celebrations

Eden District Municipal Health officials from Bitou celebrated Madiba Day in Plettenberg Bay when they visited the New Life Crèche in Qolweni.

The team consisting of Mr Gawie Vos, Ms Zoleka Goniwe, Ms Nokuphiwa Mbali, Mr Yusuf Isaacs and Ms Busisiwe Jacobs assisted the staff with their daily duties including: hand washing, serving of food and washing of dishes. The visit was concluded on a high note when each toddler received a healthy party pack from the team.

 

Eden DM Mossel Bay donated toiletries to D’Almeida residents

“100 Nelson Mandela Centenary 2018” celebrations

Executive Deputy Mayor, Councillor Rosina Ruiters, and Cllr Erica Meyer, as well as Mr Sam Bendle, Ms Rinay Cloete, Ms Monique Anthony, Mr Lukanyo Mafuduka, Ms Delmarie Lewis and Ms Ikanya Hendricks from the Eden DM Municipal Health Office in Mossel Bay generously donated toiletries to the “Creating Effective Families” facility situated in D’Almeida, Mossel Bay. The toiletries were well received by representatives of the Facility.

Role and interventions by the Eden Municipal Health Department during the Knysna Oyster Festival

29 June – 8 July 2018

Annually, Environmental Health Practitioners (EHPs) of the Eden District Municipality’s (Eden DM) Municipal Health Service act proactively in planning and implementing mitigation measures and monitoring work schedules before, during and after the Oyster Festival.  This is done to minimize and address public health issue that might arise during the festival.

This year, Knysna will be hosting the 37th Oyster Festival and it is anticipated that more than 50 000 visitors will visit the town during the 10-day event.

The EHPs from the Knysna office will be responsible for delivering the following services before and during the festival:

Environmental Health Practitioners must make sure that Oysters sold to the public is fit for human consumption.

FOOD CONTROL
Inspections of informal food premises will includes the following:

  • Daily inspections at the Oyster Festival “Hot Spots”;
  • Central Festival grounds inspections;
  • Inspections at various locations in town, where thousands of oysters will be kept under health prescribed conditions, impose by EHP’s;
  • Several batches of oyster samples have been dispatched to the Merieux Nutriscience Laboratory in Cape Town for bacteriological analysis, prior to the start of the festival in order to establish the status of the holding tank water, as well as the bacteriological oyster quality.
  • EHPs across the district have been requested to assist with the sampling and surveillance of oysters procured in other areas within the Southern Cape.
  • Drinking water (Sachets) to be provided to the athletes participating in the Forest Marathon, will be analyzed to ensure compliance as stipulated under the Bottled Water Regulations: “Regulation 692 of 1997, promulgated under the Foodstuffs, Cosmetics and Disinfectant Act (Act 54 of 1972)”.

WATER QUALITY MONITORING

  • Bacteriological water monitoring of the Knysna Estuary will be undertaken by sampling water at 14 identified sites in and around the estuary.
  • Bacteriological Water Monitoring at sites where recreational water – sport events will take place, will be monitored.

HEALTH SURVEILANCE OF PREMISES
Regular inspections and health surveillance of premises of all related public amenities will be undertaken during the Festival, including:
•    Public toilet facilities;
•    Accommodation establishments;
•    Festival grounds;
•    Food markets; and
•    Tobacco control at premises.

COMMUNICABLE DISEASE OUTBREAK
A strict communication protocol regarding the reporting of any communicable disease outbreak to the local District Municipal Health authority has been established with all relevant medical health care providers, which included both the Private and Provincial Hospitals, General Practitioners and Pharmacies.

Health Surveillance of Premises by Garden Route District Municipality

Environmental Health

Environmental Health is concerned with the health and well-being of people and other living things. This field of study does this by addressing elements of health and safety and assessing various physical, chemical, biological and social factors in the surrounding environment that may negatively impact the health of present and future generations.

Environmental Health Practitioner

Environmental Health Practitioners (EHPs), sometimes referred to as Health Inspectors, play a critical role when communicable diseases are at large. EHPs’ role in such instances includes preventative measures which revolve around hygiene inspection of premises, the general environment, health education and awareness campaigns.

The content of this article will focus on one (1) key performance area of Municipal Health Services namely ‘Health Surveillance of Premises’ whereby only two (2) types of premises will be discussed, ie.

  1. Cleaning and laundry facilities
  2. Health surveillance on farms

Health surveillance of premises is a Municipal Health Services Function, performed by Environmental Health Practitioners (EHPs) of the relevant local authority.
The National Act of 2003 (Act 61 of 2003) specifies that environmental health inspections and investigations be undertaken. Environmental Health inspections involve the identification, monitoring and evaluation of health risks, nuisances and hazards on any premises and instituting remedial and preventative measures where necessary.

1. Cleaning and laundry establishments

Environmental health inspections focus on the following areas of a b:

Structural requirements:

  • The layout of the facility;
  • Ventilation requirements;
  • Drainage system(s);
  • Interior wall surfaces;
  • Ceilings;
  • Floor surfaces; and
  • Height from floor to ceiling.

Water supply and sanitation facilities:

  • Total toilet facilities and hand wash basins;
  • Toilet facility requirements;
  • Provision of change rooms determined by the number of employees working at the premises;
  • Provision of soap and disposable towels at hand wash basin; and
  • Effective drainage and sewage disposal system requirements.

Storage, work areas and facilities:

  • Provision of a workroom, fixed and movable equipment;
  • In the case of receiving depots – provision of a separate area;
  • Floor area requirements;
  • Provision of a separate area and separate designated counter for receiving and dispatching of articles;
  • Provision of area for receiving and marking of soiled and dirty articles (working tables, adequate containers, hanging rails and shelves);
  • Provision of storage room;
  • Provision of hazard-free lockable storage for chemicals;
  • Packaging shelves requirements;
  • Machinery and equipment equipped with adequate suction fans;
  • Provision of a separate pre-rinsing area; and
  • Sanitary conditions of all fittings, equipment and appliances.

General requirements:

  • Compliance with emission levels regarding the National Environmental Management: Air Quality Act, 2004 (Act No. 39 of 2004);
  • Provision and requirements of staff kitchen; and
  • Fire department requirements.An inspection report indicating the conditions of the facility as well as recommendations (if any) will be issued to the owner or person in charge after every inspection.

2. Health surveillance on farms

The purpose of Municipal Health Services on farms is to enable the Municipality to protect and promote the long-term health and well-being of all people in the municipal area.

A suitable qualified EHP is appointed to perform duties as unpacked in the National Health Act (Act 61 of 2003) and Health Professions Act (Act.56 of 1974), to render municipal services routinely on an 18-month interval on every farm in the Garden Route District.

The municipal health services/functions require the following to comply with:

  • Structural facilities such as farm workers residence must comply with the requirements of the National Building Regulations and the Building Standards Act, 1977 (Act No. 103 of 1977);
  • Drinking water supply and treatment method;
  • Proper drainage systems;
  • Waste management;
  • Vector control;
  • Safe storage and control of Hazardous Substances;
  • Sanitation; and
  • Other activities such as farmstalls, B&Bs or Guesthouses, Home industry and Creches.

Municipal Health Services conducts Health & Hygiene Training at Tapas & Oyster Restaurant in Knysna

It becomes more evident that many bacteria, especially foodborne diseases, come to life as a result of poor hygiene practices in kitchens. On 11 May 2018 Environmental Health Practitioner of the Eden District Municipality (Eden DM) employed at the Knysna office, Ms Mendy Tyhawana, facilitated a Health & Hygiene Training session at the Tapas & Oyster Restaurant in Knysna.

Twelve staff members from the Tapas & Oyster Restaurant in Knysna soon after the Health & Hygiene Training Session. With them in the picture are: Kitchen Manager of the restaurant, Mr Owen October (left) and Eden DM Environmental Health Practitioner, Ms Mendy Tyhawana (2nd, left) .

Twelve kitchen staff members together with the kitchen manager, Mr Owen October, attended the session. Ms Mendy Tyhawana confirmed that the reason why she went to Tapas & Oyster Restaurant for the second time, is due to new employees who were appointed after she conducted the first training session. “As environmental health practitioners, we need to make sure that all staff members employed at food premises are aware of the importance of good hygiene practices, as the health of customers is in the hands of those staff”, Ms Tyhawana emphasised. “Your job as food handlers is important – take pride in what you are doing,” she added.

The following topics were covered, namely: (1) What is food poisoning; (2) How does one get food poisoning; (3) Signs and symptoms of food poisoning and (4) how to prevent it by using five keys to safer food, which are:

1. Keep clean
2. Separate raw from cooked food
3. Cook thoroughly
4. Keep food at a safe temperature
5. Use safe water and raw material

Participants listened attentively to the five keys to safer food and the practical examples made by Ms Mendy Tyhawana.

After the closing of the session, Ms Tyhawana said that even though some of the staff were new, she was surprised to hear that all of them were familiar with the five keys to safer food. “This means that staff members who attended the previous session, remembered the content of the session and also transferred their knowledge to the new staff. This is also a confirmation that the efforts made by environmental health practitioners are not in vain,” Ms Tyhawana highlighted.

More sessions will be conducted by the Eden District Municipality throughout the rest of the year to ensure the health and safety of residents in the Eden district.