Mejorando el control del riesgo por alergias e intolerancias alimentarias en los comedores escolares: aportaciones cualitativas de los grupos focales / Improving the control of food allergy and intolerance risks in school settings: qualitative inputs from focus groups

Este trabajo describe la aplicación de la técnica de grupos focales a la evaluación de los programas de control de riesgos por alergias e intolerancias alimentarias (AIA) en los comedores escolares de Barcelona. Tras impulsar su implantación, y como un componente cualitativo de su evaluación, los servicios de salud pública realizaron dos grupos focales, uno con personas procedentes de escuelas que gestionan su propia cocina y otro con personas de empresas externas que gestionan este servicio. Participaron 28 personas de un 46% de los centros invitados. Todas las escuelas parecen haber implantado un programa de autocontrol de AIA. Aunque las empresas gestoras externas solían contar ya con él, la mayoría de las escuelas que gestionan su propia cocina no lo tenía y adoptó el programa propuesto por los servicios de salud pública. El número de escolares con alguna AIA notificada disminuyó tras el programa, al exigir este un mayor rigor en su documentación

This paper describes the use of focus groups as part of the evaluation of programmes to control food allergy and intolerance (FAI) in school settings in the city of Barcelona (Spain). After fostering their adoption and as a qualitative component of their evaluation, the public health services ran two focus groups, one with people from schools that manage their own kitchen, and another from companies that outsource this service. There were 28 participants from 46% of the centres invited. All the schools seem to have implemented a self-control programme on FAI. Although outsourcing companies already had a programme, the schools that managed their own service mostly adopted the programme promoted by the public health services. The number of schoolchildren with reported FAI reduced after the programme, as it required more rigorous documentation from families

[Improving the control of food allergy and intolerance risks in school settings: qualitative inputs from focus groups]. / Mejorando el control del riesgo por alergias e intolerancias alimentarias en los comedores escolares: aportaciones cualitativas de los grupos focales.

This paper describes the use of focus groups as part of the evaluation of programmes to control food allergy and intolerance (FAI) in school settings in the city of Barcelona (Spain). After fostering their adoption and as a qualitative component of their evaluation, the public health services ran two focus groups, one with people from schools that manage their own kitchen, and another from companies that outsource this service. There were 28 participants from 46% of the centres invited. All the schools seem to have implemented a self-control programme on FAI. Although outsourcing companies already had a programme, the schools that managed their own service mostly adopted the programme promoted by the public health services. The number of schoolchildren with reported FAI reduced after the programme, as it required more rigorous documentation from families.

A Campylobacter outbreak in a Barcelona school

Introduction: Campylobacter outbreaks are less common and described than sporadic Campylobacteriosis. Methods We describe the epidemiological investigation including stool examination and bacteriological typing of a Campylobacter outbreak affecting 75 primary school children. Results The highest risk ratio was associated with the food served 4 days before the peak of cases, namely roast chicken and Russian salad. Discussion Poor food preparation practices and deficient kitchen facilities appear to be key issues for cross-contamination of Campylobacter from raw chicken to cooked food (AU)

Introducción: Los brotes de Campylobacter son menos descritos que los casos esporádicos. Métodos: Describimos la investigación epidemiológica de un brote en 75 niños de una escuela primaria. Resultados: La razón de riesgo más alta se asoció a una comida a base de pollo asado y ensaladilla rusa. Discusión: Las deficiencias en los procedimientos de preparación alimentaria y en las instalaciones de cocina parecen ser factores clave en la contaminación cruzada del Campylobacter desde el pollo crudo a la comida cocinada (AU)

A Campylobacter outbreak in a Barcelona school.

INTRODUCTION: Campylobacter outbreaks are less common and described than sporadic Campylobacteriosis. METHODS: We describe the epidemiological investigation including stool examination and bacteriological typing of a Campylobacter outbreak affecting 75 primary school children. RESULTS: The highest risk ratio was associated with the food served 4 days before the peak of cases, namely roast chicken and Russian salad. DISCUSSION: Poor food preparation practices and deficient kitchen facilities appear to be key issues for cross-contamination of Campylobacter from raw chicken to cooked food.

[Smoke-free areas: persuasion and enforcement]. / Espacios sin humo: persuasión y obligación.

This paper presents the actions taken by the public health services in the city of Barcelona (Catalonia, Spain) to improve compliance with the requirements of the new 28/2005 tobacco control law. These were essentially informative at first, with a second phase where authority enforcement mechanisms were activated. In workplaces, educational settings and transport the law was incorporated without incidents nor relevant complaints, except for isolated incidents in some university or mass transport settings. In food establishments the process has been more complex. Estimating the frequency of related events, there are 17.5 formal citizen complaints for 100,000 person-years. Inspections generated by citizen complaints resulted in 3.3 administrative proceedings for 100,000 person-years, mostly for incurring in serious violations. Effectively enforcing the law required active information and communication policies, as well as the real enforcement by health authority. This caused an important workload to the public health services.

Espacios sin humo: persuasión y obligación / Smoke-free areas: persuasion and enforcement

Se presentan las acciones de los servicios de salud públicaen Barcelona para conseguir un mejor cumplimiento de laLey 28/2005 de medidas sanitarias frente al tabaquismo. Éstasse concentran en una primera fase informativa y una segundaen la que se activan los mecanismos de ejercicio de la autoridadsanitaria.La implantación de la Ley en centros de trabajo, educativosy medios de transporte se saldó sin incidentes relevantes salvosucesos aislados en algún centro universitario o medio de transporte.En el sector alimentario el proceso ha sido más complejo.Se calculan 17,5 denuncias ciudadanas por 100.000 personas-año. Las inspecciones desencadenadas por denunciasciudadanas provocaron la apertura de 3,3 expedientes sancionadorespor 100.000 personas-año, en general por incluiral menos una falta grave.La implantación de la Ley ha precisado políticas activas decomunicación y el ejercicio real de la autoridad sanitaria. Estoha comportado una notable carga de trabajo para los serviciosde salud pública(AU)

This paper presents the actions taken by the public healthservices in the city of Barcelona (Catalonia, Spain) to improvecompliance with the requirements of the new 28/2005 tobaccocontrol law. These were essentially informative at first,with a second phase where authority enforcement mechanismswere activated.In workplaces, educational settings and transport the law wasincorporated without incidents nor relevant complaints, exceptfor isolated incidents in some university or mass transport settings.In food establishments the process has been more complex.Estimating the frequency of related events, there are 17.5formal citizen complaints for 100,000 person-years. Inspectionsgenerated by citizen complaints resulted in 3.3 administrativeproceedings for 100,000 person-years, mostly for incurringin serious violations.Effectively enforcing the law required active information andcommunication policies, as well as the real enforcement byhealth authority. This caused an important workload to the publichealth services(AU)

Tuberculosis bovina en España / Bovine tuberculosis in Spain

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