Indian Health Service Office of Environmental Health & Engineering Food Safety Updates By LCDR Sarah Snyder

Indian Health Service Overview -13 Areas -566 Federally Recognized Tribes -2+ million American Indian / Alaska Natives

Indian Health Service

Office of Environmental Health & Engineering Five Divisions Facilities Planning & Construction Engineering Services Facilities Operations Sanitation Facilities Construction Environmental Health Services

Division of Environmental Health Services Environmental Health includes : - Sanitarians - Safety Officer - Institutional EH Officers - Injury Prevention Coordinators

Division of Environmental Health Services Five Priority Areas -Children’s Environment -Food Safety -Safe Drinking Water -Vectorborne & Communicable Disease -Health Homes

  FSF = 6,000 over 34 states  Two Areas enrolled in the standards  April - Online Food Handler training course  September -Updated WebEHRs  2015 FDA Food Code  Rolled out Discovery reports National Level

  Food Safety as a GPRA measure FY  Children’s environments  Risk Factor : Employee health & hygiene  Protective Factors: Health policies, bare hand contact with RTE, and hand washing  Measurements: Policies, training, observations  Comparing out of compliance rates over time National Level

  Serve 43 Tribal communities  One staff enrolled in FDA Standardization  Utilizing national IHS Food Handler Training Certification online to augment training by regional staff  Working on plans for developing Tribal capacity to provide EH and food safety services related to enterprises Portland Initiatives

  Service to 48 Tribes  Advanced training  Isolated areas  Focus on Senior Centers with CFMs:  USDA does not require  Increase from 8%-67% in three years  Foodborne illness risk factor violations reduced 20%  Improved communication between Phoenix

  104 Tribes & 5 field staff *  August - Completed the Self –Assessment  2013 FDA Clearinghouse determined IHS will not be able to meet standard 1, 4, and 6  No legal jurisdiction  Standard 4 can only meet 8 of the 10 requirements  May meet Standard 7  Working toward standard 2 California Area

  Identified coding issues  Developing data analysis activities for staff  Increase understanding for standardization California Area

 Pacific Region Areas Alaska Area/OEHE 4141 Ambassador Drive Suite 300 Anchorage, AK Ph. (907) California Area/DEHS 650 Capitol Mall Suite Sacramento, CA Ph. (916) , ext. 336 Phoenix Area/DEHS 40 North Central Ave Suite 720 Phoenix, AZ Ph. (602) Portland Area/DEHS 1414 NW Northrup St Suite 800 Portland, OR Ph. (503) Navajo Area/DEHS P.O. Box 9020 Window Rock, AZ Ph. (928) Tucson Area/EHSB 7900 South J Stock Road Tucson, AZ Ph. (520)