Minnesota Department of Health (MDH), Food Safety Partnership (FSP) and PWDU Quarterly Update Volume 8, Issue 2, April 1, 2014 Note from the Editor ........................................................ 1 Training Calendar Training Calendar ............................................................ 1 Date Org. Details Apr. 2 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. Apr. 2 MDH/FPLS FSP+ 9:45 a.m. to 1:00 p.m. Agenda: EHS-Net Listeria Retail Deli Study, MDA Listeria Surveillance, Control of Listeria in the Retail Facility Apr. 14 MDH and MN Board of Animal Health Healthy Fairs Workshop 9:30 a.m. to 3:00 p.m. Holiday Inn Express Bemidji Apr. 17 MDH and MN Board of Animal Health Healthy Fairs Workshop 9:30 a.m. to 3:00 p.m. Prairie Event Center Marshall Apr. 25 MDH/FPLS Healthy Swimming Workshop 9:30 a.m. to 12:30 p.m. Freeman Building 625 Robert Street North St. Paul May 1 and May 2 MEHA Spring Conference Arrowwood Resort Conference Center Alexandria May 7 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. May 8 and 9 MDH/FPLS Food Safety Classroom Training Food Code Training Events ............................................................... 2 Healthy Fairs Workshop .................................................. 3 The Mod(ule) Squad ....................................................... 4 Healthy Swimming Update .............................................. 4 Bug of the Quarter ........................................................... 5 Tip of the Quarter ............................................................ 6 Food Code Revision ........................................................ 8 Emergency Management ................................................ 9 In the News ..................................................................... 9 Conference for Food Protection (CFP) ......................... 11 PWDU Staff Contact Information .................................. 11 Note from the Editor New Beginnings, Fresh Ideas Spring is the perfect time to take a fresh look at ideas, policies and routines. Read through this issue of the PWDU Update to find information highlighting training sessions and workshops, professional meetings and fresh new resources about timely public health topics. Check out upcoming training events including Healthy Fairs and Healthy Swimming Workshops and professional meetings from MEHA and NEHA. This issue also highlights up-to-date resources for reduced oxygen packaging, Listeria and more. Happy Reading, Sarah and the PWDU team 1 Date Org. Details May 15 and 16 MDH/FPLS Food Safety Classroom Training Food Code, Equipment, Communicating, Report Writing Training Events FSP Videoconferences The Food Safety Partnership (FSP) is a consortium of environmental health professionals, industry partners, and other stakeholders, founded in 2001. FSP members work together to protect public health in the area of food safety. May 29 and 30 MDH/FPLS Food Safety Classroom Training Risk-Based Inspections June 4 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. June 4 FSP 9:45 a.m. to 1:00 p.m. Agenda: Pulsed Field Gel Electrophoresis (PFGE), Traceback Investigations July 7 to 10 NEHA Annual Educational Conference & Exhibition Las Vegas, NV July 9 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Aug. 6 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. Aug. 6 MDH/FPLS FSP+ 9:45 a.m. to 1:00 p.m. Agenda TBA Sept. 10 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Oct. 1 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 9:30 a.m. Oct. 1 FSP 9:45 a.m. to 1:00 p.m. Agenda TBA FSP+ Videoconferences Oct. 28 MDH/FPLS HACCP Training for Regulators Agenda and locations TBA Food Safety Partnership Plus (FSP+) videoconferences are opportunities for the regulatory community, industry and consumers to meet and learn about current issues impacting various environmental health issues. Nov. 5 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Dec. 3 MDH/FPLS Regulators’ Breakfast 8:30 a.m. to 10:00 a.m. Dec. 3 MDH/FPLS FSP+ 9:45 a.m. to 1:00 p.m. Agenda TBA The last Food Safety Partnership (FSP) videoconference was held on February 5, 2014. Participants had the opportunity to hear about Backflow Basic from Cathy Tran, plumbing plan review supervisor for the Minnesota Department of Labor and Industry (DOLI), Charles Olson, plumbing inspector (DOLI), and Jason Kloss, environmental health manager with Southwest Health and Human Services (SWHHS). Thanks to everyone who was a part of this valuable training session. The next FSP videoconference will be held from 9:45 a.m. to 1:00 p.m. on Wednesday, June 4, 2014. Topics will include pulsed field gel electrophoresis (PFGE) and traceback investigations. For contact hours or site information, contact Jennifer Rief at 651-201-5402, [email protected]. The first of three FSP+ videoconferences planned for 2014 will be on April 2, 2014. Presentations will focus on Listeria detection and control in retail food facilities. Join us in person at the Freeman Building, at one of the many videoconference sites across the state, or from your desk via live stream for the next session. Watch for details in future issues and by viewing the PWDU training calendar at http://www.health.state.n.us/divs/eh/food/pwdu/trainin g.html. View the updated PWDU training calendar at www.health.state.mn.us/divs/eh/food/pwdu/training.ht ml 2 Regulators’ Breakfast Healthy Fairs Workshop: Working Together for a Healthy Fair The purpose of the Regulators’ Breakfast is to establish a forum that will contribute to statewide uniformity and consistency amongst regulatory staff and management (local agency and MDH) in the interpretation and application of statutes, rules and procedures. This event is for regulatory agencies. Contact Sarah Leach for more information [email protected], 651-201-4509. You are invited to join experts from the fields of environmental, human and animal health for one of two sessions of the 2014 Healthy Fairs Workshop. This workshop will provide important public health resources and information for fair organizers, exhibitors and vendors. Agenda topics include: Food Safety Classroom Training Minnesota Department of Health, Food, Pools, and Lodging Services Section (MDH FPLS) has developed and provides Food Safety Classroom Training sessions on a regular basis to inspection and management staff from MDH and local delegated health agencies. This training is provided to advance knowledge, encourage standard procedures and promote uniformity between inspection staff. It is considered “Core” training and topics covered include: • FDA and MN food codes; statutes, rules and regulations. • Proper equipment use (e.g., thermocouples and pH meters). • Effective communication and report writing. • Risk-based inspections. • Vendor licensing. • Water supply issues. • Stories from sanitarians. • Petting zoo best practices. • Snapshot of Minnesota petting zoos. • Porcine epidemic diarrhea virus. • Animal ID requirements. • Minimizing influenza spread. This free event runs from 9:30 a.m. to 3:00 p.m., and includes a hot lunch. Two sessions are planed: • Monday April 14, 2014 at the Holiday Inn Express, 2422 Ridgeway Avenue, Northwest, Bemidji 56601. • Thursday, April 17, 2014 at the Prairie Event Center, 1507 East College Drive, Marshall 56258. Learn more and register online at www.health.state.mn.us/fairs, or contact event organizer, Carrie Klumb at [email protected] or 651-201-5414. Over the six days of classroom training, we build upon the learning. The last day we take what has been learned and in teams, document a complex flow chart, identify hazards and CCPs, determine applicable MN food code rules, practice demonstration of knowledge in relation to the food identified in the flow chart and write a risk control plan using the examples provided. Presented by the Minnesota Department of Health (MDH) Epidemiology and Environmental Health Divisions and the Minnesota Board of Animal Health. Funded by Upper Midwest Agricultural Safety and Health Center (UMASH). The next series of classes is scheduled for May 8 and 9, 15 and 16, and 29 and 30. Contact Jim Topie ([email protected]; 218-302-6154) for more information. 3 The Mod(ule) Squad A workshop for food safety course providers and other food safety professionals Come ride along as the Mod(ule) Squad takes you on an educational food safety tour! Two hip “plug and play” course modules include teacher resources, student handouts, activities, quizzes and more. Each module is approved for one hour of continuing education toward state food manager certificate renewal. • Categorizing food establishments as “high-risk,” “medium-risk,” and “low-risk” based on menu and food flow. • Explaining the who, what, where, how, and why of HACCP. • Selecting appropriate assessment strategies to assess knowledge, comprehension and application. Register online at www.health.state.mn.us/registration/. Pre-registration deadline is April 15, 2014. Workshop participants earn four continuing education credits toward renewal of their Minnesota food manager certificate. Registered sanitarians will receive 6.5 contact hours. Date: Wednesday, April 23, 2014 Time: 9:00 a.m. to 3:30 p.m. Location: Dakota Lodge, 1200 Stassen Lane, West St. Paul, MN 55118 Cost: $60 per person, includes continental breakfast, breaks, and lunch Sponsored by Minnesota Departments of Agriculture and Health. Healthy Swimming Update Healthy Swimming Workshop The day’s Awesome Agenda includes: • Welcome & State Updates. • Manage Your Life and Team by Strengths Not Weaknesses, John Warder of Top Ten Talents Group. • Course Module 1: Licensing. • Course Module 2: HACCP. • Designing Effective Learner-Centered Assessment Tools, Suzanne Driessen of University of Minnesota Extension. Please join us for our annual Healthy Swimming Workshop! This year’s workshop will be held Friday, th April 25 from 9:30 a.m. to 12:30 p.m. in St. Paul. Highlighted topics will include: The Groovy Goal of the 2014 workshop is to provide food safety instructors with two “plug and play” course modules for certified food manager renewal. Attendees will acquire resources and skills required to implement pre-approved courses on the topics of licensing and HACCP. Healthy swimming tips. • Lessons learned from recent outbreaks. • Practical interventions. • Common findings from routine inspections. All aquatic managers, swim team coaches, physical education teachers, and other aquatic professionals interested in preventing waterborne illness are encouraged to attend. Attendance is limited, so register online today at: http://www.health.state.mn.us/registration/nocharge/. Attendees will achieve multiple Far Out Objectives. Examples are: • • Knowing your Strengths Personality and what to do with it. Please contact Trisha Robinson at [email protected] or 651-201-5414 for more information. 4 Bug of the Quarter Symptoms usually begin about three weeks after being exposed. People who are not in the high-risk categories usually have no symptoms and suffer no ill effects from the infection. What is Listeria? Listeria monocytogenes is a bacterium that causes an illness called listeriosis. Listeriosis primarily affects people in high risk categories such as adults with weakened immune systems, pregnant women and newborns. How can I reduce my risk? People who are at high risk, such as pregnant women and people with weakened immune systems, should follow these recommendations: Here are three important facts from the Centers for Disease Control and Prevention (CDC): Do not eat hot dogs, deli meats, or luncheon meats unless they are reheated to at least 165° F. 1600: About 1600 people in the U.S. get sick from Listeria germs each year. rd Do not eat soft cheeses unless they have labels that clearly state they are made from pasteurized milk. rd 3 : Listeria is the 3 cause of death from food poisoning. Do not drink raw milk or eat foods that contain raw milk. Do not eat refrigerated smoked seafood unless it is an ingredient in a cooked dish, such as a casserole. 90%: At least 90% of people who get Listeria infections are either pregnant women and their newborns, people 65 or older, or people with weakened immune systems. Do not eat refrigerated pates and meat spreads; canned or shelf-stable pates and meat spreads may be eaten. How is Listeria spread? Listeria occurs naturally in soil and water. You can get listeriosis by eating foods contaminated with Listeria. Produce may be contaminated naturally in the field, animals may carry the bacterium, and equipment and facilities may harbor Listeria. What are the symptoms of listeriosis? Common symptoms include: • • • • Fever Muscle aches Where can I find more information about Listeria? Nausea Diarrhea Information from CDC about Listeria, listeriosis, and how to reduce outbreaks: http://www.cdc.gov/vitalsigns/listeria/ Pregnant women may experience influenza-like illness, which can lead to miscarriage, stillbirth, premature delivery or infection of the newborn. Recent large outbreaks of listeriosis: http://www.cdc.gov/listeria/outbreaks/index.ht ml If the infection spreads to the nervous system, additional symptoms may develop, including: • • • • • Headache Stiff neck Preventing listeriosis: http://www.cdc.gov/listeria/prevention.html Confusion Loss of balance Convulsions 5 How can ROP be done safely? General Listeria information from MDH: http://www.health.state.mn.us/divs/idepc/diseases/ listeriosis/listeria.pdf ROP methods create an environment with unique characteristics and associated hazards. Therefore, Hazard Analysis and Critical Control Points (HACCP) plans are required. If HACCP plans are not developed, implemented and followed to ensure a safe product, the environment created by improper ROP methods may be conducive to growth of Clostridium botulinum and Listeria monocytogenes. Tip of the Quarter Reduced Oxygen Packaging The Minnesota Department of Health (MDH), Food, Pools, and Lodging Services Section (FPLS) has responded to the increase in Reduced Oxygen Packaging (ROP) methods being used in restaurants by providing training and developing resources for regulatory agencies and retail food establishments in Minnesota. HACCP plans must be prepared, validated and approved prior to use of ROP methods in the food establishment. Inspections are conducted to verify the establishment is following the approved plan. If the establishment is not following an approved HACCP plan, the establishment must stop ROP until it conforms to the What is ROP? The term ROP can be used to describe any packaging procedure that results in a reduced oxygen level in a sealed package. The term is often used because it is an inclusive term and can include packaging options such as: • • • • • Minnesota Rules, part 4626.0020 Subpart 68. Reduced oxygen packaging A. “Reduced oxygen packaging” means the reduction of the amount of oxygen in a package by mechanically evacuating the oxygen, displacing the oxygen with another gas or combination of gases, or otherwise controlling the oxygen content in a package to a level below that normally found in the surrounding atmosphere, which is 21 percent oxygen. Cook-chill Controlled Atmosphere Packaging (CAP) Modified Atmosphere Packaging (MAP) Sous Vide Vacuum Packaging Food is prepared and sealed in bags approved and designed for ROP. These bags limit the amount of gas exchange that can happen between the inside of the bag and the air surrounding the bag. Restaurants often use ROP methods to preserve flavor, color and texture in foods. approved plan or until a revised plan is submitted, validated and approved. How can I learn more about ROP? As food preparation and storage technologies change, it is important for food establishment owners, operators and employees and regulatory staff—including sanitarians, supervisors and managers—to keep current with applicable food safety principles. Cook-chill method is one kind of ROP. Hot, cooked, potentially hazardous foods are heat sealed or crimped closed in bags approved and designed for ROP, then rapidly cooled. The process of cooking during this packaging method drives off oxygen, leaving a reduced level in the food. The method is commonly used for soups, sauces and gravies. Recently, MDH has worked with partner agencies to develop new tools and resources for regulators and food establishment operators. These printable resources are available for MDH FPLS and delegated agency regulatory staff to download from FoodSHIELD and include: Another commonly used ROP method is sous vide. Sous vide packaging involves placing potentially hazardous foods in bags approved and designed for ROP, then cooking the bagged foods in a water bath. • • • Minnesota food code requires a variance when conducting ROP using cook-chill or sous vide methods. Guidance Document HACCP Food Flow Example for ROP ROP Decision Tree A list of ROP methods, descriptions and examples of foods commonly prepared using each method is included in Table 1 (see page 7). 6 MDH hosted an ROP workshop for food business operators and regulatory staff in November 2013. Additional HACCP training for regulators only will be held on October 28, 2014. Local agency staff and MDH FPLS staff may contact Jim Topie ([email protected]; 218-302-6154) for more information. 7 Table 1: ROP Methods and Examples ROP Methods Description ROP Method Examples of Food Vacuum Packaging (VP) Air is removed from the package, package is hermetically sealed so a vacuum remains inside the package, and package is refrigerated or frozen. Cured meat from an approved source. Raw or partially cooked food is put in a hermetically sealed, impermeable bag, the food is cooked in the bag and then rapidly cooled and refrigerated or served hot. Steak or pot roast. Food is cooked, an impermeable bag is filled with the hot food, air is expelled, the bag is sealed or crimped closed, rapidly cooled and then refrigerated. Soups. Sous Vide Packaging (SV) Cook-Chill Packaging (CC) Raw meat from an approved source. Cheeses packaged in a commercially manufactured food processing plant with no ingredients added in the retail food establishment and packaged cold. Examples of cheeses that may be packaged under ROP can be found in FDA Food Code 2009: Annex 3 – Food 3-502.12. Vacuum packaging of soft cheeses is not allowed. Chicken with marinade or spices. Sauces. Refried beans. Pasta with sauce. Gravies. Food Code Revision not have the legal authority to incorporate this type of federal document in a state rule. Minnesota is currently in the process of revising the Minnesota food code, Minnesota Rules, chapter 4626. Opportunities are provided throughout the process for stakeholders to provide input. The revision process is moving forward. The Office of the Revisor of Statutes has completed at least one review of all of the proposed chapters, except for chapter 9. As Legislative priorities allow, our revisor is working on second reviews of chapters 2, 6 and 7. Food Code Rule Revision Process Update The Advisory Committee has begun meeting again, and the membership is being updated. The next meeting is scheduled for April 29, 2014. The rule revision process is proceeding following the normal process required by Minnesota Statutes, chapter 14 and Minnesota Rules, chapter 1400. Many opportunities remain for working on all parts of the Food Code. You can find current information at the rule revision website (http://www.health.state.mn.us/divs/eh/food/code/2009re vision/). The Minnesota Departments of Health and Agriculture recently had explored the option of incorporating most of the chapters of the FDA 2013 Food Code in the Minnesota Food Code. The departments had thought this approach would speed up the current process and future revisions. We found out that the departments do If you have any questions or concerns, please contact Linda Prail at either [email protected] or 651-2015792. 8 Emergency Management In the News Food, Pools, and Lodging Services (FPLS) Water Emergency Response Protocol Template University of Minnesota Food Policy Research Center The Food Policy Research Center delivers comprehensive, integrated Policy Analyses and Issue Briefs of some of today’s complex food issues. The goal is to inform policymakers, industry representatives, and consumers of the science behind the issues. Each Policy Analysis and Issue Brief involves an interdisciplinary research team comprised of at least one author and several scientific reviewers incorporating economic, environmental, social, health, governmental, and legislative considerations. The Water Emergency Response Protocol template was developed with the assistance of MDH staff and staff from local delegated programs after several incidents that involved watermain breaks. The Water Emergency Response Protocol template is for MDH Food, Pools, and Figure 1: Minneapolis Watermain Break Lodging Services January 2, 2013 photo courtesy of Minneapolis Public (FPLS) Program and Works local agencies with MDH-FPLS delegated authority. It may be customized to guide and document water emergency responses and communications inside and outside an agency. Issue Briefs are presented using balanced and unbiased science in a straightforward one to two-page format using plain language. Topic areas identified by various commodity groups and legislative staffers helped determine the critical issues for Analyses. Two new Issue Briefs were published in March 2014. Some background information is included below. Please read the full briefs at www.foodpolicy.umn.edu/ The template includes the following information: types of emergency situations and public health concerns, types of public communications advisories, core incident objectives that need to be addressed immediately, expectations for priority services during and after an incident that poses a threat to safe water or food, website links to fact sheets and other resources, and form fields for information that should be collected during and after an incident. Issue Brief: Hunting Ammunition and Implications for Public Health There are over 10 million deer hunters in the United States. Hunter harvested meat is a source of food for individual families and, through donations, is an important source of protein for food shelves. Following the discovery that tiny lead fragments are frequently dispersed throughout meat harvested with lead ammunition, hunters, researchers, and policy-makers alike have taken a closer look at public health implications based on the use of different metal ammunition. The policy brief outlines the exposure potential and the public health risk of four readily available types of metal ammunition used for harvesting game. Information provided on the Figure 2: Broken Watermain completed form photo courtesy of Minnesota Department of Health will help an Incident Manager complete the ICS Form 201 Incident Briefing to be shared at the initial briefing if a response structure is activated. The template was distributed to FPLS staff and FPLS delegated authorities for use during future water related emergencies. Regulators can view and download the template through FoodSHIELD. 9 New garden chemicals are bad for bees Issue Brief: Raw Milk and Implications for Public Health Evidence is mounting that insecticides widely used in backyards and gardens are harming bees, butterflies and birds. The sale of unpasteurized (i.e., raw) milk remains a contentious topic spanning policy issues from public health to the consumers’ right to choose. Consumer demand for raw milk is driven by taste preference, proposed health benefits and a push to consume locally sourced foods, among other things. Still, public health investigations have identified links between raw milk consumption and foodborne illness outbreaks caused by a range of pathogens harmful to human health. The following issue brief outlines the forces driving consumer demand, the science behind the public health concern and the policy options to be considered in the state of Minnesota and nationally. Free Workshop April 5 To spread the word about the need to protect the natural world from nicotine-like chemicals, the St. Paul Audubon Society is sponsoring a workshop on April 5 from 9 a.m. to noon at Macalester College’s Campus Center, Snelling and Grand Aves. The event, billed as “Bad for Bees: A new threat in your backyard,” is free and open to the public. Neonicotinoids Chemical compounds containing a synthetic form of nicotine are called neonicotinoids, or “neonics,” and are the mostly widely used insecticides in the world. What’s wrong with neonics? They do the job of foiling insects in gardens and trees, but they’re almost too effective: They work by spreading through the entire plant, from seed to leaf to pollen and nectar, and may continue to be toxic for months, even years. They can harm bees that eat the pollen and butterflies that sip the nectar. Upcoming RS/REHS Exam and Study Sessions Minnesota Environmental Health Association (MEHA) sponsors structured study sessions designed to prepare candidates for the Registered Environmental Health Specialist/Registered Sanitarian exam. Two sessions are now scheduled: • • Once applied to food plants they don’t wash off, unlike other kinds of insecticides, and may pose a threat to humans. Garden stores are filled with products and plants containing neonics and home gardeners are applying these chemicals at alarmingly high rates. Tuesday, April 1, 12:00 p.m. to 3:00 p.m. Topics will include Housing/Residential and Institutional Environments. The training will be held at the Fridley Community Center (FCC), 6085 7th Ave., NE in Fridley, MN, in Room 112. Tuesday, April 15th, 12:00 p.m. to 3:00 p.m. The topic will be swimming pools. The training will be conducted by Joe Hibberd, RS, of the St. Paul - Ramsey County Environmental Health Section, at his office at 2785 White Bear Ave., Suite #350, Maplewood, MN. The European Union has approved a two-year ban on neonics while it studies their effects on bees. Contact Frank Sedzielarz at [email protected] if you have questions about either session. The registration deadline has passed for the upcoming exam on F, April 24, 2014. The next deadline is August 15, 2014 for the exam on Friday, October 24, 2014. Application information and materials are available at www.health.state.mn.us/divs/eh/san/ For further information, contact Kim Gordon ([email protected]; 612-724-7136) 10 Conference for Food Protection (CFP) CFP Issue Discussions We have scheduled a series of meetings to discuss the CFP issues that have been submitted for the 2014 Conference. Learn about CFP at http://www.foodprotect.org/. View the issues that have been submitted at the following links: • • • Council I Issues: www.foodprotect.org/issues/packets/20 14Packet/councils/council_I.html Council II Issues: www.foodprotect.org/issues/packets/20 14Packet/councils/council_II.html Council III Issues: www.foodprotect.org/issues/packets/20 14Packet/councils/council_III.html Meeting dates: • • • • April 10; 1:00 p.m. to 4:00 p.m.; OLF B362 – Council I Issues April 16; 9:00 a.m. to Noon; OLF B361 – Council II Issues April 22; 1:00 p.m. to 4:00 pm; OLF B362 – Council III Issues April 28; 1:00 to 4:00 pm; OLF B149 – remaining issues (only if needed) If you can’t join us in person, we will have set up a call-in option and a Web conference: • • Call in number: 712-432-1699 Passcode: 518631# It will be helpful for you to have the issues available during the call. (Caution – if you print all of the issues with all of the attachments, it’s nearly 1,000 pages!) We will also be doing a Web-based conference if you want to log in with your computer. We’ll have a projector in the room so all participants can see the screen – if you log in to the Web conference, you’ll be able to see the same things people in the room are seeing. To join the Web conference, go to: https://foodshield.connectsolutions.com/r92587703/ (you’ll still need to dial in using the number above in order to hear the conversation). When you click on the link, Adobe Connect will start and a few screens might pop up on your computer. When the log in screen appears: • • Enter the Web conference as a guest. Enter your first and last names. If you are with your colleagues, it would be helpful if you just logged in on one computer. Looking forward to productive discussions on the issues. Partnership and Workforce Development Unit Staff Contact Information Angie Cyr, acting PWDU supervisor [email protected] 651-201-4843 Kim Carlton, training, program evaluation, standardization [email protected] 651-201-4511 Nicole Koktavy, epidemiologist, EHS-Net coordinator [email protected] 651-201-4075 Sarah Leach, newsletter, communication, education [email protected] 651-201-4509 Michelle Messer, training, program evaluation, standardization [email protected] 651 201-3657 Jennifer Rief, administrative support [email protected] 651-201-4508 Denise Schumacher, web, communication, education [email protected] 507-537-7162 Jim Topie, training, program evaluation, standardization [email protected] 218-302-6154 Division of Environmental Health Food, Pools, and Lodging Services Section P. O. Box 64975 St. Paul MN, 55164-0975 651-201-4500 or 1-888-345-0823 11
© Copyright 2026 Paperzz