Graphical representation of the Life Course Health Development (LCHD
) framework as conceptualized in this study (Modified from: Halfon and Hochstein (18)).
LCHD needed to create a science-based program that would blend education with enforcement to change behaviors contributing to foodborne illness.
In the fall of 1993, LCHD conducted a two-month pilot program in which Lake County staff visited over 100 food facilities to determine the level of food safety knowledge among employees who prepare food.
Approximately two weeks later, LCHD staff revisited the food facilities to determine if knowledge and preparation procedures had improved.
These staff members are responsible for monitoring disease trends in Lake County Together with LCHD's medical adviser (a licensed physician), they also assist the Food Program in investigating suspected foodborne-illness outbreaks.
An LCHD investigation of potential sources of nitrate contamination of the household wells indicated that the probable source of groundwater contamination was animal waste from the hog-confinement facility.
After completing the investigations of patients 1-3, LCHD investigated a fourth case of spontaneous abortion in a 35-year-old woman who lived approximately 10 miles from the other three women.
Possible explanations for the cases of spontaneous abortion investigated by LCHD are that they may represent an otherwise unrelated cluster or that they may have been related to ingestion of nitrate-contaminated drinking water.
LCHD evaluated approximately 2,600 food establishments and determined the level of risk that each contributes to foodborne outbreaks.
Due to the large population of Hispanics in the county, LCHD has aggressively recruited sanitarians fluent in Spanish and provided them with a salary increase.
What are the main components of LCHD's educational program?
LCHD replaced the ineffectual inspection rating with a pass/fail system.