Dear All, We are pleased to share World Health Day Oration entitled- "Food Safety: Getting the Basics Right" delivered by Dr Vidushi Sharma (SuVi Eye Institute & Lasik Laser Center, Kota, India). This Program was held at Indian Medical Association (IMA) Kota, Rajasthan, Branch, India. For details please contact: Dr Suresh K Pandey, Joint Secretary, Indian Medical Association, Kota Branch, India; Email: suvieye@gmail.com, Phone +91 9351412449

1. WORLD HEALTH DAY
विश्ि स्िास््य दििस
April 7, 2015
FOOD SAFETY: Getting The Basics Right
Dr. Vidushi Sharma, MD, FRCS & Dr Suresh K Pandey
SuVi Eye Institute & Lasik Laser Center,
Kota, Rajasthan, India
www.suvieye.com, Email-suvieye@gmail.com; Ph. 91-9351412449
IMA KOTA WORLD HEALTH DAY CELEBRATION &
INSTALLATION CEREMONY,
KOTA, RAJASTHAN, INDIA

2. Food
 Food and Water are the
most basic necessities for
survival.
 Most diseases, specially in developing
countries are still food and water-
borne
 Beyond survival, quality and quantity
of food determine good health or lack
of it.
Dr Vidushi Sharma, MD, FRCS

3. Medicine and Food
 Let Food be they medicine and
medicine be thy food. Hippocrates 460BC
 When Diet is wrong, medicine is of no
use, when diet is right, medicine is of
no need. Ayurvedic proverb
 He that takes medicine and neglects
diet, wastes the skills of the
physician. Chinese proverb
 ‘‘जैसा खाये अन्न िैसा होिे मन’’
Dr Vidushi Sharma, MD, FRCS

4. Food Security and Food Safety
 A situation that exists when all people,
at all times, have physical, social and
economic access to sufficient, safe and
nutritious food that meets their dietary
needs and food preferences for an active
and healthy life. (FAO 2001)
 Assurance that food will not cause harm
to the consumer when it is prepared
and/or eaten according to its intended
use.
Dr Vidushi Sharma, MD, FRCS

5. Dr Vidushi Sharma, MD, FRCS

6. Food Security in India
 India is home to more than 230
million undernourished people (21%
of population) FAO report 2008
 Rising prices increase poverty and the
number of hungry people
 Inflation in food articles is higher than
general inflation, affecting the
poorest of poor in terms of
percentage
Dr Vidushi Sharma, MD, FRCS

7. Social issues
 Huge wastage in marriages (15%)
 Executive guest control order 1960s
 Lack of granaries, warehouses,
rotting food grains
Dr Vidushi Sharma, MD, FRCS

8. Dr Vidushi Sharma, MD, FRCS

9. Food Safety
 Unsafe food can lead
to a range of health
problems
 diarrhoeal disease, viral disease (the
first Ebola cases were linked to
contaminated bush meat)
 reproductive and developmental
problems, cancers..
Dr Vidushi Sharma, MD, FRCS

10. Key Facts
 Unsafe food—containing harmful
bacteria, viruses, parasites or
chemical substances—causes more
than 200 diseases, ranging from
diarrhoea to cancers.
 Food-borne and waterborne
diarrhoeal diseases kill an estimated
2 million people annually, 700,000 in
SE Asia, including many children
Dr Vidushi Sharma, MD, FRCS

11. Food threats
 Bacteria: Salmonella, Vibrio,
Campylobacter...
 Virus: Norovirus, Hepatitis A
 Parasies: Echinococcus Entamoeba,
Ascaris, Giardia
 Prions
 Chemicals
Dr Vidushi Sharma, MD, FRCS

12. Changes in Food chain
 Intensive agriculture
 Globalization of food
trade
 Mass catering and
street food
Dr Vidushi Sharma, MD, FRCS

13. WHO Day 2015
 Opportunity to alert
governments, manufacturers,
retailers and the public to the
importance of food safety—and the
part each can play in ensuring that
the food on peoples’ plates is safe to
eat.

14. Dr Vidushi Sharma, MD, FRCS

15. Dr Vidushi Sharma, MD, FRCS

16. Aim of the Campaign
 Governments –
public awareness
campaigns
 Consumers –
ensure safety –
check labels, ask
questions, follow
hygiene tips
Dr Vidushi Sharma, MD, FRCS

17. Codex Alimentarius
 Latin for “book of food”
 Collection of internationally
recognized standards, codes of
practice, guidelines and other
recommendations relating to foods,
food production and food safety.
Dr Vidushi Sharma, MD, FRCS

18. WHO’s five keys to safe food
 Keep clean
 Separate raw and
cooked food
 Cook thoroughly
 Cook and store at safe
temperatures
 Use clean water and raw
materials
Dr Vidushi Sharma, MD, FRCS

20. Growing safe vegetables
 Practice good personal hygiene
 Avoid animal fecal contamination
 Use treated fecal waste
 Risks from irrigation water
 Keep harvest and storage equipment
clean and dry
Dr Vidushi Sharma, MD, FRCS

21. Newer Problems
 Drug Residues, pesticides, genetically
modified foods
 Intensive agriculture
 Antimicrobial resistance
 Climate change
 Food allergies
 Mineral deficiencies, obesity and
NCDs – processed food
Dr Vidushi Sharma, MD, FRCS

22. Recent Concerns
 “One of the most
ubiquitous and
long-lasting
recent changes to
the surface of our
planet is the
accumulation and
fragmentation of
plastics,”

23. Say No to Disposables/ Educate
Dr Vidushi Sharma, MD, FRCS

24. Plastic Not so Fantastic
 Chemicals added to plastics are
absorbed by human bodies.
 Plastic buried deep in landfills can
leach harmful chemicals that spread
into groundwater.
 bisphenol A (BPA), found in
polycarbonate bottles and the linings
of food and beverage cans, can leach
into food and drinks.
Dr Vidushi Sharma, MD, FRCS

25. Plastic
 It has been estimated
that over one trillion plastic bags are
used worldwide each year and .5%
to 3% of all bags winds up recycled
 In 2006, the United Nations found
that each square mile of the ocean
has 46,000 pieces of plastic in it.
Dr Vidushi Sharma, MD, FRCS

26. Bottled Water – Lessons learnt
 Scare us – Tap
water
 Seduce Us –
Images of pristine
mountains and
nature
 Misleading Us
 SF (USA) ban
Dr Vidushi Sharma, MD, FRCS

27. Toxic Farming
 234 pesticides registered in India till
2012, 24 of these classifies as
potential carcinogens by US EPA
 67 pesticides in use which have been
banned elsewhere
 Many banned and restricted
pesticides in India appear in residue
testing
 Bio-accumulation & Bio-magnification
Dr Vidushi Sharma, MD, FRCS

28. Pesticides
 More than 95% of
the pesticide doesn’t reach the target
organisms, and reaches air soil and
water and contaminates them
 More water needed per crop
Dr Vidushi Sharma, MD, FRCS

29. Media Attention
Dr Vidushi Sharma, MD, FRCS

30. Punjab
 Food basket to disease basket
 20 % of all sampled wells have
nitrate levels above the safety limit of
50 mg of nitrate per litre for drinking
water
 Cause methemoglobinemia, (blue-
baby syndrome) and cancer.
 Overuse without precautions
Dr Vidushi Sharma, MD, FRCS

31. Punjab
 2.5% agriculture
land and 18%
pesticide use
 Cancer train to
Bikaner
 Malwa region
most highly affected
Dr Vidushi Sharma, MD, FRCS

32. Chemicals
 Naturally occuring: mycotoxins
(aflatoxin, ochratoxin), marine biotoxins
 Persistent organic Pollutants: industrial
processes, waste incineration – dioxins
and PCBs - reproductive &
developmental problems, damage the
immune system, interfere with
hormones and cause cancer.
Dr Vidushi Sharma, MD, FRCS

33. Heavy metals
 Lead, Cadmiumm and Mercury though
air water and soil pollution
 Dangerously high amounts of Barium,
Cadmium, Manganese, Lead and
Uranium, signifying long-term exposure
in hair of physically and mentally
challenged children in Punjab
Dr Vidushi Sharma, MD, FRCS

34. Dr Vidushi Sharma, MD, FRCS

35. GM Crops
 Bacillus thuringiensis (or Bt) –
bacteria produce chemicals harmful to
selective insects – biological pesticide
 The gene coding for Bt toxin injected
into cotton to give Bt cotton
 Initially, increased yield, more profits,
but a vicious cycle ensues, needs
refuge areas
Dr Vidushi Sharma, MD, FRCS

36. Organic farming in India
 Inida 7th in the world in terms of area
 Area under organic certification
highest in MP, followed by HP and
Rajasthan, yet no formal outlets for
organic produce in Rajasthan
 Balance between the two approaches
to feel the population
 Organic food superior? Tastier?
Dr Vidushi Sharma, MD, FRCS

37. Indian Scenario
 Need to strike a
balance between
organic farming
(Sikkim) and
increased production
 Hygiene
 Do not overdo,
overuse, use
precautions
Dr Vidushi Sharma, MD, FRCS

38. Storage
Let us start
Swchchata
here!
Dr Vidushi Sharma, MD, FRCS

39. Food Adulteration
 Milk products such as khoya, butter,
ghee, milk-based sweets, pulses
(arhar and rajma), mustard oil,
groundnut oil, poultry and meat
Dr Vidushi Sharma, MD, FRCS

40. Food Adulterants

41. Dr Vidushi Sharma, MD, FRCS

42. Dr Vidushi Sharma, MD, FRCS

43. What can we do?
 Be aware and
educate
 Walk the Talk
 Doctors well
suited to be the
change you
wish to see
Dr Vidushi Sharma, MD, FRCS

44. Walk the Talk
Dr Vidushi Sharma, MD, FRCS

45. Dr Vidushi Sharma, MD, FRCS

46. WORLD HEALTH DAY
विश्ि स्िास््य दििस
April 7, 2015
FOOD SAFETY: Getting The Basics Right
Dr. Vidushi Sharma, MD, FRCS & Dr Suresh K Pandey
SuVi Eye Institute & Lasik Laser Center,
Kota, Rajasthan, India
www.suvieye.com, Email-suvieye@gmail.com; Ph. 91-9351412449
IMA KOTA WORLD HEALTH DAY CELEBRATION &
INSTALLATION CEREMONY,
KOTA, RAJASTHAN, INDIA