NCCEH

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Nom: Ontario PHI
Date: 7 novembre 2011

I find this scenario difficult to fit under the umbrella of an ethical dilemma, because as practitioners we have a duty to protect this health and safety of the public. The only ethical dilemma I see here is one of a jurisdictional nature.

Since health and safety of the public should be of primary importance, the local health inspectors' results should be considered as part of their normal activities. Any special hygiene measures required, should be directed and carried out. Inspections that are unannounced provide a truer representation of normal routine practices at any establishment, and therefore should not be scheduled. Facilities should not be given the opportunity to refuse participation when the health and safety of the public is at stake.

Information in 2011 regarding Listeria monocytogenes (LM) is publicized more widely than it was in 2008. However, further research may be required to understand the information being specifically disseminated to pregnant women and to persons with immune deficits regarding LM. The scope, quality and impact of this information requires study before a limited public advisory can be relied upon. A public recall should be given through the CFIA with the assistance of local Boards of Health when necessary.


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