The Centers for Disease Control (CDC) shares the following press release reminding us to consider how much sodium we may be consuming when we eat out.

Americans eat out at fast food or dine-in restaurants four or five times a week. Just one of those meals might contain more than an entire day’s recommended amount of sodium.  CDC has strategies for health departments and restaurants to work together to offer healthier choices for consumers who want to lower their sodium intake. The report, “From Menu to Mouth: Opportunities for Sodium Reduction in Restaurants,” is published in the CDC’s journal, Preventing Chronic Disease.

On average, foods from fast food restaurants contain 1,848 mg of sodium per 1,000 calories and foods from dine-in restaurants contain 2,090 mg of sodium per 1,000 calories.

The U. S. Dietary Guidelines recommend the general population limit sodium to less than 2,300 mg a day. Too much sodium can cause high blood pressure, one of the leading causes of heart disease and stroke.

“The bottom line is that it’s both possible and life-saving to reduce sodium, and this can be done by reducing, replacing and reformulating,” said CDC Director Tom Frieden, M.D., M.P.H. “When restaurants rethink how they prepare food and the ingredients they choose to use, healthier options become routine for customers.”

The report outlines several ways health departments and restaurants have worked together to offer lower-sodium choices:

• Health department dietitians help restaurants analyze the sodium content of their foods and recommend lower-sodium ingredients.
• Restaurants clearly post nutrition information, including sodium content, at the order counter and on menus or offer lower-sodium items at lower cost.
• Health departments and restaurants explain to food service staff why lower sodium foods are healthier and how to prepare them.

The report also features examples of sodium reduction successes.  In Philadelphia, the health department worked with 206 restaurants to create the “Philadelphia Healthy Chinese Take-out Initiative.”  After evaluating menus for sodium content, participating restaurants began choosing lower sodium ingredients and creating lower sodium recipes. After nine months, analyses of two popular dishes offered by 20 of the restaurants showed sodium was reduced by 20 percent.

“The story in Philadelphia shows what can be done,” Dr. Frieden said. “It’s not about giving up the food you love, but providing lower sodium options that taste great.”

To learn more about sodium and how it affects health, visit www.cdc.gov/salt.  Reducing sodium is one way that Million Hearts, a national public-private initiative to prevent a million heart attacks and strokes by 2017, is working with communities to keep people healthier and less likely to need health care www.millionhearts.hhs.gov.

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U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

The kitchen, for food, is often the first place children go when they get home from school, but it’s not always the safest place. Millions of children become ill from the food they eat.

Here are some food safety recommendations from the U.S. Department of Agriculture (USDA) to share with children to help keep them safe after school. When coming home after school, kids can help prevent illnesses by following these recommendations:

1. Place books, bags, and sporting equipment on the floor, not on eating counters or the kitchen table where germs could be transferred.
2. Clean out lunch boxes and throw away perishable sandwiches or other “refrigerator type” foods, such as yogurt tubes or cheese sticks, left over from lunch.
3. Wash your hands before you make or eat a snack. Hands carry lots of germs, and not washing hands is a top cause of foodborne illness.
4. Always use clean spoons, forks, and plates.
5. Wash fruits and vegetables with running tap water before you eat them.
6. Do not eat bread, cheese, or soft fruits or vegetables that are bruised or have spots of mold.
7. Do not eat unbaked cookie dough because it may contain raw eggs that can have Salmonella bacteria.
8. Do not leave cold items, like milk, lunchmeat, hard cooked eggs, or yogurt, out on the counter at room temperature. Put these foods back in the refrigerator as soon as you’ve fixed your snack.
9. Don’t eat any perishable food left out of the refrigerator, such as pizza — even if it isn’t topped with meat. Food should not be left in the temperature “Danger Zone” of 40 to 140 °F for more than 2 hours (1 hour if the temperature is 90 °F or higher).

Heating or cooking foods in microwave ovens can present food safety and personal safety challenges. Some foods do not heat evenly to destroy all bacteria that could be present. Keep these tips in mind:

1. Read package directions carefully. An adult needs to tell children whether to use the minimum or maximum cooking time on food package directions.
2. Use only microwave-safe cookware. Don’t put metal or foil-wrapped foods in the microwave. Never microwave food in cold storage containers, such as margarine tubs, cottage cheese cartons, or bowls from frozen whipped topping. The containers can melt and transfer harmful chemicals into the food.
3. For more even cooking and to better destroy bacteria, cover a dish of food with a lid, plastic wrap, or wax paper. Turn up one corner to let excess steam escape while food is microwaving.

4. Halfway through cooking, rotate food packages and dishes or stir food during microwaving — even if the oven has a turntable. This helps the food cook more evenly and safely.

The Centers for Disease Control want us to practice food safety at fairs and festivals throughout the summer.

One of the CDC publications  asks us to remember that the usual safety controls that a kitchen provides, like thermostat-controlled cooking, refrigeration, and washing facilities, may not be available when cooking and dining at these events. Here are some things they suggest you do or find out to prevent foodborne illness:

Before you buy food from a vendor check out the following:

• Does the vendor have a clean/tidy workstation?
• Does the vendor have a sink for employees to wash their hands?
• Do the employees wear gloves or use tongs when handling food?
• Does the vendor have refrigeration on site for raw ingredients or pre-cooked foods?
• Has the vendor been inspected? Requirements vary by state, but in general, temporary and mobile vendors, like those at fairs and carnivals, should have a license to sell food and beverages in a particular state or county. You can check with the local health department to see if the vendors are licensed and if a food inspection has been completed.

Are there healthy food alternatives to consider at fairs and festivals?

When purchasing food from a vendor, look for foods that are healthy for you. If they are not available, consider bringing your own food to save money and calories. Don’t forget to keep safe food storage practices in mind.

If bringing food from home, what are the proper food handling and storage practices?

If you bring food to a fair or festival from home, be sure to keep food handling and storage times in mind. Don’t let food sit out for more than two hours. On a hot day (90°F or higher), reduce this time to one hour. Be sure to put perishable items in a cooler or insulated bag

Remember to Wash Hands Often:

• Find out where hand washing stations are located.
• Always wash your hands right after petting animals, touching the animal enclosure, and exiting animal areas even if you did not touch an animal.
• Always wash hands after using the restroom, after playing a game or going on a ride, before eating and drinking, before preparing food or drinks, after changing diapers, and after removing soiled clothes or shoes.
• Bring hand sanitizers or disposable wipes in case there aren’t any places to wash your hands.

Report Illness:

Anytime you suspect you may have contracted a foodborne illness, report it to your local health department, even if it is after you have recovered. The local public health department is an important part of the food safety system. Often, calls from concerned citizens are how outbreaks are first detected. If a public health official contacts you to find out more about an illness you had, your cooperation is important. In public health investigations, it can be as important to talk to healthy people as it is to ill people. Your cooperation may be needed even if you are not ill.

 The Centers for Disease Control (CDC) recommends that everyone 6 months of age and older get a seasonal flu vaccine.

The CDC states that children should be vaccinated every flu season for the best protection against flu. For children who will need two doses of flu vaccine, the first dose should be given as early in the season as possible. For other children, it is good practice to get them vaccinated soon after flu vaccine becomes available, ideally by October. However, getting vaccinated even later can be protective, as long as flu viruses are circulating.

While seasonal influenza outbreaks can happen as early as October, most of the time influenza activity peaks in January or later. Since it takes about two weeks after vaccination for antibodies to develop in the body that protect against influenza virus infection, it is best that people get vaccinated so they are protected before influenza begins spreading in their community.

The CDC warns that Influenza (“the flu”) is more dangerous than the common cold for children. Each year, many children get sick with seasonal influenza; some of those illnesses result in death.

• Children commonly need medical care because of influenza, especially before they turn 5 years old.
• Severe influenza complications are most common in children younger than 2 years old.
• Children with chronic health problems like asthma, diabetes and disorders of the brain or nervous system are at especially high risk of developing serious flu complications.
• Each year an average of 20,000 children under the age of 5 are hospitalized because of influenza complications.
• Flu seasons vary in severity, however some children die from flu each year. During the 2013-2014 influenza season, more than 100 flu-related pediatric deaths were reported..

The vaccination is especially important for certain people who are high risk or who are in close contact with high risk persons. This includes those at high risk for developing complications from the flu and adults who are close contacts of those children.

Starting in 2014-2015, CDC recommends use of the nasal spray vaccine (LAIV) for healthy* children 2 through 8 years of age, when it is immediately available and if the child has no contraindications or precautions to that vaccine. Recent studies suggest that the nasal spray flu vaccine may work better than the flu shot in younger children. However, if the nasal spray vaccine is not immediately available and the flu shot is, children 2 years through 8 years old should get the flu shot. Don’t delay vaccination to find the nasal spray flu vaccine. For more information about the new CDC recommendation, see Nasal Spray Flu Vaccine in Children 2 through 8 Years Old