Beware: Your food might contain these toxins

Agencies
June 2, 2017

New Delhi, Jun 2: Ever thought you would be consuming heavy metals or cigarette butts with your food? As a rule of thumb, foods are generally safe. However, there are things that get into food, which could shock and disgust you enough to keep away from food altogether.toxins

What will surprise you further is that many of these things are permitted by the food safety authorities, but within limits. Some substances, like certain toxins, are naturally present in foods. And so, even if the food authorities wanted, they could not ban them totally.

Some of these ‘foreign’ substances might not be dangerous, but not even in your wildest imagination could you have thought that they could be on your plate, says Dr Saurabh Arora, founder, Food Safety Helpline.com.

1. Snack with maggots.

Next time you eat a burger or open sealed packs of foods, or cans of mushrooms and tomatoes, check carefully. It could be infested with maggots and insect eggs. Your cabbage and spinach could have caterpillar larvae in it. Believe it or not, a limited number of maggots are permitted in food, says Dr Arora.

2. Ever wondered what rats do in your food?

Rodents scavenge for food and rummage in food stocks. In fact, rodents could make stored foods their home if entry is not strictly prevented. Where there is laxity, rodent hair, urine and droppings enter foods and from there to your plate. So watch out as your food could be biologically contaminated.

3. They live in drains, dustbins and in your food.

Cockroaches, flies, insects of all kinds, and even spiders, and lizards can fall into food and are regarded as being highly dangerous if found in foods as they can carry bacteria from dustbins and drains to foods. The presence of rodents and insects is a food safety violation that could result in cancellation of license for food establishments.

4. What are cleaning agents doing in your food?

Cleaning agents like ammonia, bleach, dishwashing liquids and sanitizers can cause turmoil. People have had them with their coffee because the personnel forgot to rinse out the coffee machine thoroughly. Human error it could be but the carelessness in not rinsing and washing utensils or cooking surfaces thoroughly can lead to not only a bad taste but some stomach burning and even food poisoning. Cleaning agents need to be stored away from all food preparation areas and utensils. Cooking and food preparation surface areas must be cleaned, washed and sanitised only when food preparation is over and no food is outside. Such carelessness ruins reputations of food establishments.

5. Unseen dangers have roots.

Moulds and fungus grow on foods when the temperature is warm. The rainy season finds these in abundance in sauces, jams, jellies, cooked and processed meats and poultry, cheese, bread and even fruit. Surface moulds can be washed or dusted off but that does not mean they have gone away completely. The fungus has roots that go deep into foods and these are not visible to the naked eye. Dishcloths, towels, sponges and mops, if not kept clean, spread moulds which land up in your food. Avoid anything smelling musty and stale, and check vegetable and fruit stems to detect moulds.

6. Are you sure your milk products have no melamine?

Are you sure that the infant formula you are feeding your child with, or the chocolate and frozen yogurt you are eating is free of melamine? Melamine is synthetic material used to make plastic tableware and dishware, adhesives and even whiteboards. So what’s it doing in your food? Water is often mixed into milk and such milk loses proteins. So to enhance the content of protein, melamine is mixed in it. Products made from milk could have melamine which can damage the kidneys permanently.

7. Packaging infuses chemicals into food.

Antimony and tin are used in packaging materials from where they can enter food. Foils, cans, pans and storage containers have chemicals which can be released from them into food at low levels. When ingested, they cause various health problems.

8. You could be ingesting heavy metals.

Copper, brass, cadmium, lead, zinc, mercury and even arsenic could be in your food. Metals leach into foods from the environment and from utensils used for cooking and serving food. Cracked or chipped pewter dishes, pottery dishes with glazed lead, or those pretty enamelled dishes you cook and serve food in can leave lead or cadmium in your foods and can even react with acidic foods like tomatoes, orange juice and pickles. Copper cooking utensils, buckets and tubs made from galvanised metals like zinc, and plumbing pipes also introduce metals into foods. Mercury and arsenic can reach foods through water and cadmium and lead from soil. All these heavy metals can cause toxicity when ingested and could even damage the liver, kidneys, central nervous system and blood, while mercury can cause sensory, visual and auditory problems also. Since chemicals cannot be seen, adequate and regular food testing is required to ensure that foods are free from these elements at all points in the food chain.

9. Tea with a taste of iron.

Iron filings can enter tea when it is processed as particles escape into tea from the wear and tear of iron machinery. Iron remains in the body and though some iron is good for the body, it could become dangerous and lead to heart problems if you are a tea addict and drink copious amounts of it. The permissible limit for iron filings in tea in India is presently 150 mg per kilogram of tea.

10. Human beings leave their own stamp on foods.

While human hair found in food might not be as hazardous as animal hair, but their presence in food indicates that the establishment lacks in good hygienic practices. Besides hair; nails, false nails, nail polish, pieces of jewellery, paper napkins and even cigarette butts can enter food and have been found, more often than anyone would like to admit. All personnel working in the food service industry need to be made aware of these hazards and instructed and trained to follow good hygiene practices.

11. Mice and horse in your processed meat.

Animal hair or chipped pieces of bone can be naturally present in meat food products. Perhaps what you may not be aware of is that whole mice can sometimes be churned into foods during processing. Unscrupulous manufacturers add horse and even rat meat to canned meat food products to cut costs, especially those imported, as some countries permit horse meat.

12. Extraneous materials that can break your teeth.

They say sticks and stones won’t break bones but stones in food might break your pearly whites. You must have seen dirt, mud, manure, leaves, twigs and other filth and even insect excreta in some raw grains and other agricultural products. While some of these can be removed by picking them out, what about insect excreta? When raw materials are processed into cereals and bakery products, do these remain or have they been cleaned before processing?

13. What’s cooking, metal or glass?

Metal fragments from worn or chipped equipment and containers enter food products during processing. However, glass, plastic and metal pieces from glass tumblers, edges of badly opened tin cans, and carelessly opened caps on foods, and even shattered light bulbs fall into food without anyone realising it. Wood pieces from wooden surfaces or chopping boards slip into food too. Even a small piece of any of these substances can cause major problems if swallowed. Most establishments use shatterproof bulbs and open tin cans and bottles away from foods being cooked.

14. Sand and sawdust special.

Have you felt that grit on your tongue? It could be sand in your salt, soup and coffee whitener. Sand is mixed in powdered foods as sand absorbs moisture and prevents clumping. Sawdust is used for the same reason in foods like shredded cheese. It also makes low-fat ice cream creamy and ready-to-drink milkshakes smooth.

15. Are these food additives really permitted?

The fruit juice you enjoy so much could have sulphites. Sulphites are deliberately added to fruit juices, in some soft drinks, instant tea vinegar and wine to keep them tasting fresh. While preservatives and flavour enhancers improve the looks and taste of foods yet some of them could cause allergic reactions.

16. Of hormones and antibiotics.

Livestock are given antibiotics and growth hormones in their feeds so they can remain healthy and grow bigger quickly. If you are a non-vegetarian, you could find these growth hormones and antibiotics in the animal meats which you eat. Eating animal meats that contain antibiotic makes you resistant to them.

17. From plants to your plate.

Residues of pesticides, herbicides and chemical fertilizers used during the agricultural process easily find their way into food. Pesticides may leave residues on the skins and surface of fruits and vegetables. Residues of pesticides and herbicides, over a period of time, can affect the central nervous system, respiratory and gastrointestinal system.

18. Gelatine: veg or non-veg?

Some vegetarian foods like certain cereals could contain animal gelatine which is used as a binding agent so that the sugar sticks to the cereal. Read the labels minutely if you are a vegetarian or you could find you’ve just eaten animal bone and skin as some gelatine are made from these.

19. Carcinogens in your foods.

Bright coloured foods look attractive but the truth is that synthetic dyes like Red 3 and Citrus Red 2, Blue 1, Blue 2, Green 3, Red 40 and Yellow 6 are carcinogenic and could cause various kinds of cancer and allergic reactions too.

20. What does your chewing gum contain?

If you are one of those who loves to pop a chewing gum into your mouth, then you could actually be eating a secretion from sheep wool called Lanolin. This additive is used in chewing gum because it has an oily texture which makes it easy to chew that gum.

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Dr G K Sudhakar Reddy
August 4,2020

Being overweight or obese is now recognised as a serious cause of ill health and disability. There is a significant positive association between orthopaedic disorders and the level of obesity causing pain, deformity and difficulty in walking.

Excess body weight accumulation increases pressure on joints, particularly the hips, knees and ankles.

Here are a few type of  arthritis:

Osteoarthritis

It is a condition of damage/ wear and tear of the joint lining or cartilage. Obesity triggers this by loading excessive weight on the weight bearing joints like the knee and the hip. 

Knee Osteoarthritis

This is the most common arthritis especially in the Indian subcontinent.

While walking, an individual exerts 3 to 6 times pressure that of the body weight on the weight-bearing knee joint, which means in an obese with excess body weight, larger forces are exerted, which lead to higher risk of deterioration of cartilage.

In addition, there are excessive fat tissues that produce hormones and other factors that affect the joint cartilage metabolism and cause inflammation of the joints giving rise to joint pathology.  Leptin is one of the hormones causing knee osteoarthritis. 

Hip osteoarthritis

The force exerted across the hip is 3 times that of body weight. Hip osteoarthritis is caused by factors such as joint injury, increasing age and being overweight.    

Hand osteoarthritis

The observation that obese individual has a higher risk in having hand osteoarthritis has led to a hypothesis that the metabolic effect produced by fat tissue is the underlying factor. 

Osteoporosis

It is a progressive bone condition of decrease in bone mass and density (Bone Mineral Density or BMD) which can lead to an increased risk of fracture. Recent research suggests that obesity may accelerate bone loss. It is the amount of muscle mass which is seen in an active person, which accounts for bone strengthening effects and not due to the fat seen in a heavy person.

Low back pain

Low back pain from degenerative disc disease of the lumbar spine is one of the most disabling conditions in the community and overweight and obesity have the strongest association with seeking care for low back pain.

Managing Hip and Knee Osteoarthritis

Life style changes

If one is overweight, try to lose weight by doing more physical activity and eating a healthier diet. Regular exercise keeps you active and mobile and builds up muscle, thereby strengthening the joints and can improve symptoms. 

Pain Killers

Painkillers help with pain and stiffness for short term. They don’t affect the arthritis itself and won’t repair the damage to your joint. Creams and gels can be applied directly onto painful joints.

Nutritional Supplements

Glucosamine and chondroitin are nutritional supplements. Animal studies have found that glucosamine can both delay the breakdown of and repair damaged cartilage. However, there is insufficient evidence to support the use of glucosamine in humans and one can expect only a mild-to-moderate reduction in pain

Joint injections

If pain from osteoarthritis is severe joint steroid injections are injected into the joints that can reduces swelling and pain. The injections can start working within a day or so and may improve pain for several weeks or months. 

Hyaluronic acid injections, which help to lubricate your knee joint also give short term relief. In early stages. Stem cell treatment or cartilage regeneration procedures are being tried in young people with small defects, however it is still experimental and lacks long term evidence.

Surgery

May be recommended if you have severe pain or mobility problems.

Arthroscopy

If one has frequent painful locking/stiffening episodes especially in the knee joint, an operation to wash out loose fragments of bone and other tissue as joint can be performed by a minimally invasive key hole procedure called Arthroscopy.

Arthrodesis

If hip or knee replacement is not suitable, especially in young people who do heavy manual work, one can consider an operation known as an arthrodesis, which fuses your joint in a permanent position. This means that your joint will be stronger and much less painful, although you will no longer be able to move it.

Osteotomy

In young, active people in whom a knee joint replacement would fail due to excessive use one can consider an operation called an osteotomy. This involves adding or removing a small section of bone either above or below your knee joint.  This helps realign your knee so your weight is no longer focused on the damaged part of your knee. An osteotomy can relieve your symptoms of osteoarthritis, although you may still need knee replacement surgery eventually as you grow old

Joint replacement surgery

Joint replacement therapy is most commonly carried out to replace hip and knee joints. It involves replacing a damaged, worn or diseased joint with an artificial joint made of special plastics and metal.

For most people, a replacement hip or knee will last for at least 20 years, especially if it is cared for properly and not put under too much strain.

Dr G K Sudhakar Reddy is a Sr Consultant Orthopaedic Surgeon at Citizens Speciality Hospitals, Hyderabad

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Agencies
June 23,2020

The record levels of new daily COVID-19 cases are due to the fact that the pandemic is peaking in a number of big countries at the same time and reflect a change in the virus' global activity, the World Health Organisation said.

At a media briefing on Monday, WHO's emergencies chief Dr Michael Ryan said that the numbers are increasing because the epidemic is developing in a number of populous countries at the same time.

Some countries have attributed their increased caseload to more testing, including India and the US But Ryan dismissed that explanation.

We do not believe this is a testing phenomenon, he said, noting that numerous countries have also noted marked increases in hospital admissions and deaths neither of which cannot be explained by increased testing.

There definitely is a shift in that the virus is now very well established, Ryan said. The epidemic is now peaking or moving towards a peak in a number of large countries.

He added the situation was definitely accelerating in a number of countries, including the US and others in South Asia, the Middle East and Africa.

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Agencies
March 27,2020

New Delhi, Mar 27: The Centre has restricted sale and distribution of "hydroxychloroquine" declaring it as an essential drug to treat the COVID-19 patients and meet the requirements of emergency arising due to the pandemic.

The Ministry of Health and Family Welfare on Thursday made the announcement making it clear that the order "shall come into force on the date of its publication in the official Gazette".

In the order, the government declared that the Central government is "satisfied that the drug hydroxychloroquine is essential to meet the requirements of emergency arising due to pandemic COVID-19 and in the public interest, it is necessary and expedient to regulate and restrict the sale and distribution of the drug 'hydroxychloroquine' and preparation based thereon for preventing their misuse".

"Now, therefore, in exercise of the powers conferred by Section 26B of the Drugs and Cosmetics Act, 1940 (23 of 1940), the Central government hereby directs that sale by retail of any preparation containing the drug Hydroxychloroquine shall be in accordance with the conditions for sale of drugs specified in Schedule H1 to the Drugs and Cosmetics Rules, 1945."

The order came at a time when the novel coronavirus claimed 16 lives and infected over 600 people across India.

The announcement regarding ban of sale and distribution of the drug was made by the government earlier but it issued an official Gazette notification on Thursday signalling that hydroxychloroquine -- an anti-Malaria drug -- will work as a medicine for treating coronavirus infected patients as well.

Recently, the national task force for COVID-19 constituted by Indian Council for Medical Research (ICMR) has recommended hydroxy-chloroquine as a preventive medication.

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