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

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

3. Indian Health Service

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

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

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

7.   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

8.   Food Safety as a GPRA measure FY 2016-2020  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

9.   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

10.   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

11.   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

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

13.  Pacific Region Areas Alaska Area/OEHE 4141 Ambassador Drive Suite 300 Anchorage, AK 99508 Ph. (907) 729-3501 California Area/DEHS 650 Capitol Mall Suite 7-100 Sacramento, CA 95814 Ph. (916) 930-3945, ext. 336 Phoenix Area/DEHS 40 North Central Ave Suite 720 Phoenix, AZ 85004 Ph. (602) 364-5078 Portland Area/DEHS 1414 NW Northrup St Suite 800 Portland, OR 97209 Ph. (503) 414-7774 Navajo Area/DEHS P.O. Box 9020 Window Rock, AZ 86515 Ph. (928) 871-5807 Tucson Area/EHSB 7900 South J Stock Road Tucson, AZ 85746-7012 Ph. (520) 295-5629