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Double-Dipping and Other Food Peculiarities

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[Music]

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please join me in welcoming to the

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distinctive voices podium dr. Paul

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Dawson Thank You Jennifer I redo it if I

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mess up I was reading the great honor to

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be here

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distinctive voices I appreciate all

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support I read the members give a lot of

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money and I appreciate being offered the

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opportunity to speak but I was reading

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the introduction or the background and

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it says cutting into edge technology and

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hot topics so you're probably wondering

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the same thing I'm learning how what am

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I was this joke we're doing here talking

1:00

about double dipping and the five-second

1:02

rule is that really a hot topic of

1:04

cutting edge technology so a little bit

1:06

of background how I got here we got to

1:08

this point giving a talk on this topic

1:11

you see on the screen we have a creative

1:13

inquiry program at Clemson and it's not

1:16

unlike other institutions that have

1:19

undergraduate research but it has a

1:20

little twist that we have teams of

1:22

undergraduate students and in our

1:24

curriculum in food science and human

1:26

nutrition each faculty member has a

1:28

topic they work on and teams of seven to

1:31

ten students each semester and we

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require our students to do six semesters

1:35

their sophomore junior senior years

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participate in these teams they rotate

1:40

through long story short my topic is is

1:43

survival and transfer of bacteria on

1:45

food services so we started this about

1:48

10 years ago and the neat thing is each

1:51

semester we meet and we come up with an

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idea from scratch the students go

1:55

through me and the objective is to learn

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how to do research the students and also

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work in teams which really helps them

2:01

when they graduate and jobs

2:03

well we finished the first one it was on

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the five-second rule and it was a

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research project we did replication and

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statistics I said well why not try to

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publish this so I published it in the

2:14

Journal of food microbiology and I think

2:17

it's worth the table I'll show up later

2:18

and lo and behold anybody know the name

2:21

Harold McGee yes

2:23

curious cook he picked it up and he

2:25

writes for the New York Times put it up

2:26

read Arkell in there and all heck broke

2:29

loose getting calls from the media

2:31

did want to double-dipping he'd wear

2:33

another article kind of steamrolled one

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thing led to another and and now running

2:38

a book about it and so this has gotten a

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new so that's how it kind of got here so

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let's get busy I had this this graphical

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outline we're gonna go through I want to

2:51

say now the and acknowledge the who did

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most of these drawings is a brown Brian

2:57

chal now ski you know recognize him at

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the end bob lagrosse is book of the

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five-second rule talk about a little

3:03

background a little history about it

3:06

then of course thereby knows beer pong

3:08

you don't want beer pong is we'll talk

3:10

about when we get there

3:11

college campuses right next door I'm

3:13

sure of on you know very well what that

3:15

what that is restaurant menus what when

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you go to a restaurant what do you mean

3:19

you touch the menu kind of what's

3:20

happening blowing out birthday candles

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and right behind that kind of airborne

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bio aerosols we have hand dryers or

3:30

bacteria blowers and and then sharing

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food I know I've got this idea when I

3:38

would had popcorn I was eating myself

3:40

popcorn you kind of digging in the bag

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and you come back and you get this wet

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piece of popcorn in your hand how did

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that happen so and then and then the

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infamous double dipping from George

3:51

Costanza on Seinfeld and we'll try to

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bring it back a little sanity at the end

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with a little CDC discussion food safe

3:58

little common sense and I just say that

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this is either going to be germophobes

4:02

worst nightmare or their validation one

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of the other five-second rule this this

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is a cartoon obviously pure appeared on

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the wiki world by Greg Williams kinda

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gives you the background of what that is

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I'm sure most people know popular rule

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it says there that old wives tale

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regarding eating food that's been

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dropped on the floor and had a little

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bacteria counting one two three

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five-second rule so forth so raise the

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hands how many people have eaten food

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off the floor there you go okay actually

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they're actually there was a study done

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this University Illinois one of the

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first ones that actually mentioned the

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five-second rule back in 2003 actually

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women there are more women that eaten

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food off the floor than man and we

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assumed that women are less wasteful

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so speaking of surfaces there was a

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study in ours that looked at a over a

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thousand public places in Tucson Chicago

5:10

San Francisco and Tampa

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they found that 21% of the movie

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theaters and 51 said the refs references

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restaurants had highly contaminated

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surfaces and they just judged that by

5:19

number of bacteria now just because it's

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contaminated with bacteria doesn't mean

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it's unhealthy but we'll get to that

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little later too

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but one in five had a biochemical marker

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which is categorized as blood urine

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sweat or mucus so so where the word the

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five-second rule originated there's one

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thing called the Kahn rule Genghis Khan

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believed in writings at and the Kahn

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rule was that if food was prepared for

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Genghis Khan it could seal the floor as

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long as it wanted because you need it

5:51

because it was prepared for him and his

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pair for him was good as long as he said

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it was then of course those of you who

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remember the French chef

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Julia's child there was some stories

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that she dropped turkey on the floor and

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made a comment in the buzz in the

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kitchen you can still pick it up in

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reality what she dropped a pan capitate

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a pancake on the stovetop instead of

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nobody's in the if you're alone in the

6:13

kitchen it's okay to put it back in the

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so we're not sure where that started but

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that's that's kind of the story but

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there's a real concern of course the

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cross-contamination in this example here

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cutting raw chicken on the surface turns

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out we didn't document about other

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people as well if you don't clean that

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surface and it looks clean visually

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Salmonella bacteria can survive up to 28

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days on that surface so you do that or I

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do that you come behind me and make a

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sandwich and it could be some

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cross-contamination 28 days here's a

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quick summary won't go through all these

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but I mentioned 2003 really was the

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first mention of the five-second rule

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undergraduate you

6:57

University Illinois dropped gummi bears

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and fudge cookies on tiles that had been

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inoculated and found cross-contamination

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but there was no publication and I will

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say there are a lot of publications on

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bacterial transfer some really

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sophisticated studies on how much

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pressure and all but these are ones just

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directly mentioned the five-second rule

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now I wouldn't call myth busters really

7:18

a study but they they did Jamie Hyneman

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having a savage back in 2005 did drop

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pastrami and crackers on surfaces and so

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there was transferred there just trying

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to prove that it can't happen so they

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did that we published our study back in

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2006 and we'll go through that a little

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late a little more detail 2007

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interesting study in Connect Connick

7:38

Connecticut college to seniors dropped

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food on the floor and said came up with

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the idea the conclusion that skittles

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were safe after 30 seconds in apple

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slices after 60 seconds I'll say right

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now though what they did was really kind

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of a different questions they didn't

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really they didn't knock you laid the

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surface they walked around the college

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campus just drop it randomly so they

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weren't really measuring how transferred

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is really probably the contamination of

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that surface is it 2014 in the UK there

8:09

was a study again no publication and we

8:12

saw this in the Science Channel show

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used to be called quickened the curious

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a NASA engineer dropped cookies in a

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park and asked people they eat the

8:19

cookie interesting study and then it was

8:23

a very good study in 2016 and on

8:25

Schaffner out of Rutgers University they

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need kind of expanded all what we did

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stainless-steel carpet and wood he

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dropped used watermelon red and a gummy

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bears and in that order

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his watermelon had the most bread and

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then gummy bears had the least he found

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in that study so answer the question can

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food to be dropped up to 5 secs that

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bacteria get on the floor you read the

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cartoon there the guy said what your

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thumb doing my steak you think I want me

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to drop it again

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and here's our here's our studying again

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we kind of looked again set up an

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experiment set up treatments look at the

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food we used Bologna and bread or our -

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food - foods we tested the surface we

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use carpet tiles it says in wood

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surfaces and then time how long was on

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there but also how long was the bacteria

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on the surface before you drop the food

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there are two time factors so really

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strips really quick strict simple

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methods we knock late the tile with

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Salmonella let it bacteria remain there

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between 5 minutes and 24 hours drop

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Bologna or bread on the tile even there

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different times and then cover the

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bacteria from the Bologna or bread later

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on and see how many we're transferred ok

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a little busy slide here but very

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quickly

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this is Bologna after five minutes

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towels been sitting there five minutes

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with Salmonella on it we drop it five

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seconds in black 30 seconds in green and

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sixty seconds in and gray as you can see

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Tom wouldn't carpet carpet it's

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generally little lower

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these are log values so they're into

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that power 10 to the 6 that you had a

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million cells on there and you could

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technically say that in carpet time had

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an effect but that's really where the

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interpretation there is kind of

10:20

misleading I would conclude from a food

10:22

market bages that it's not safe

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obviously when you've got 100,000

10:27

bacteria on that baloney piece of

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Bologna so again and again you can see

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that carpet had a little less in that

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case this time Bologna but at this time

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the we used is the Salmonella had been

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on the tile for 24 hours before we drop

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so you see the lower numbers so what

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that tells us is again like we can

10:46

common sense would tell you it's not how

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long the foods on the surface it's how

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long the bacteria has been on the

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surface that's the time factor but

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nevertheless tile wood and carpet at the

10:59

24 hours there was less bacteria for the

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Bologna to pick up but again we see some

11:03

statistical differences and wood and

11:07

carpet again we could say that

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was a factor but again you still got

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enough bacteria there in this case

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probably to make someone certainly is

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immunocompromised ill this case is white

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bread and I kind of have a different

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representation you're showing that time

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effect zero hour is how long actually 5

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minutes how long the salmon devil's on

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the table before we put bread on it 2

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hours is on 2 hours 4 hours 8 hours and

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24 hours Salmonella was sitting on the

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tile before we put bread on it you see

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kind of a dropping off and that's either

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the offs that Salmonella is kind of

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decreasing in numbers it also might be

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attaching more closely to the tile

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forming a biofilm with that tile and

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again really I would conclude that

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there's really not much difference in

11:53

the 5 seconds versus 30 60 seconds and

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you see I got the scale there were

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already over almost four logs for 10,000

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bacteria still after 24 hours being

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picked up by piece of water dry white

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bread so it led us to the next question

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we've already answered it but we'll kind

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of go through the data we found how long

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does Salmonella survive on the tile well

12:15

while we're here this anybody recognized

12:17

that person is Barry Antoine yeah he

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actually was the first person in the

12:22

1600s to visualize bacteria up to that

12:25

point really didn't people didn't know

12:27

general public didn't know what a

12:29

bacteria now he were after was not a

12:31

microbiologist he was he made glass or

12:34

magnifying instruments and so he

12:37

identified theirs back but back to your

12:39

were 1600s and then I mention about

12:41

biofilms kind of a graphic that you

12:43

really can't read what's on the bottom

12:44

but just show there's platonic bacteria

12:46

but kind of floating around in solution

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then there's biofilm back tears attached

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to a surface it really is really

12:52

dangerous it causes a lot of problems

12:54

with it with a colitis actually is one

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of the compounding factors and cystic

12:59

fibrosis because the fiyo films and the

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lungs can't reach the fluid so biofilms

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are a real problem

13:06

so this graph we hit kept the bacteria

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on there for not that I'll let it for

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one week two weeks three weeks four

13:13

weeks recover them we actually were

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curious because if you're cutting

13:17

chicken on the surface you actually some

13:19

chicken juices there and there actually

13:21

have some nutrients in that so we

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took a standard media diluted it down to

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10% 1% and point one percents a very

13:28

weak media there but I wanted to see if

13:31

that made a difference in it and it did

13:33

make a difference bad news was that eat

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after four weeks even with the weakest

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media there still were cells we were

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covering of Salmonella viable cells off

13:42

that tile so that's per square

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centimeter of tile and again lastly we

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talked about carpet you know actually

13:54

carpet in this case for most of that 24

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hours the Salmonella survived better on

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carpet even though we had less transfer

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it kind of makes sense if I spill a

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chicken juice on this carpet

14:05

you drop bread on it there's gonna be a

14:07

sound was gonna be absorbed into the

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carpet so it's not much surface area but

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it likes living down there in the carpet

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obviously here in 24 hours so that's

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kind of a last story to tell if you're

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gonna drop it on the floor I guess it's

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carpet that's the option so ear Paul

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beer pong originated in the 1950s

14:30

according to our studies and lead

14:33

Dartmouth Ivy League you will it

14:38

originally played with a ping-pong

14:39

paddle and then Lehi and Buck nail

14:41

modified that dbe's in your hand today's

14:45

being kind of used with throwing with

14:47

the hand if you don't know what it is

14:48

I'm who doesn't know what beer pong is

14:51

raise your hand oh we got a few okay

14:52

okay beer pong is a game that you see

14:55

the cup there and the goal is to throw

14:57

the ping pong ball in the cup standing

14:58

off the size of a table with cups got

15:00

beer in it if I throw the ping pong ball

15:03

in your cup you got to drink your beer

15:05

okay and most times oftentimes the ball

15:08

does not land in the cup so it's

15:09

bouncing around on the floor and so our

15:13

students are students this was a student

15:15

idea Marcie I think so you can imagine

15:18

I didn't come up with this and kind of

15:21

have Bob Uecker there because what

15:22

usually happens is the bulb if they're

15:23

trying to pick a ping-pong ball up

15:25

you're actually playing ping-pong you

15:26

got to wait for it to stop rolling to

15:27

pick it up that's where he got that so

15:31

what do we do actually it was actually

15:33

it was a Miami game I'm coming at

15:36

Clemson and students went around the

15:38

campus yeah there had ping-pong balls

15:40

that were being used in pink beer pong

15:42

games brought them back to the lab and

15:45

then we enumerated with the back the

15:47

bacteria on those ping-pong balls did

15:51

you see we have some possible pathogen

15:53

carriers and you can imagine playing

15:56

there playing beer pong and one of the

15:59

one of the worst things is a hand

16:00

they're handling it you know you've got

16:02

bacteria your hand and the more you play

16:04

beer pong and your drink if you lose

16:06

you're drinking beer and you got to go

16:07

to the bathroom right they go to the

16:09

bathroom they've been drinking so are

16:11

they likely to wash their hands and they

16:13

come back and play beer pong so you can

16:14

see the story here anyway so it students

16:20

gathered scattered out on campus

16:22

collected beer pong balls got that beer

16:25

pong ball spinning there with bacteria

16:26

on it we kept we had them keep track of

16:29

where the game was being played it was

16:31

being played on a carpeted floor inside

16:33

vinyl floor inside a wooden porch

16:35

hardwood outdoors and then we have an

16:38

average overall you can see here that

16:41

outdoors we were finding over 200,000

16:45

bacteria per ball down to 600 for carpet

16:50

and these are averages there's extreme

16:52

summer zero some are really high so

16:55

there's bacteria on these excellent also

16:57

being played now we don't know where

16:58

it's good or bad at the end I like we

17:00

did some presumptive identification but

17:02

there's bacteria on these ping-pong

17:04

balls but in fact you know are you

17:06

concerned about the average or the worst

17:09

case scenario well we actually found 303

17:14

million bacteria on one thing pond ball

17:16

we recovered from these games so some of

17:18

these are really highly can contaminated

17:20

so we our first experiment was concluded

17:25

be there is bacteria on ping-pong balls

17:28

they're used during beer pong game which

17:29

you might

17:31

the obvious the next step was okay if

17:33

there's if there's bacteria on the

17:36

ping-pong ball is it transmitted to back

17:38

to the beer so that was an easier study

17:41

we did that in the lab undergrads in lab

17:45

with beer so anyway we very simple

17:49

these are simple experiments they'll be

17:51

replicated them again students are

17:52

learning how to do research we had

17:55

loculated ping pong balls with actually

17:57

a fluorescent ecoli we have a little

18:00

have a little picture in the corner

18:01

there this is a fluorescent gene added

18:04

the bacteria and so we can this way we

18:06

know that the bacteria we're counting in

18:08

the beer is actually the ones we not

18:10

laid on the bow and not other ones so

18:12

you're want to know that transfer not

18:14

good to think long ball let dry for

18:16

about five minutes or less throw it in

18:18

the beer measure back tearing the beer

18:20

pretty simple and by the way over here

18:24

that one little graphics are little

18:26

words bacterias saying Oh beer I can

18:28

live in this no problem oh that is true

18:31

because there was actually a study that

18:33

a person did if you were going to a

18:36

country that had bad water so to speak a

18:38

third world country

18:39

what alcoholic drink would be best to

18:42

drink to prevent Montezuma's Revenge and

18:44

they found that it actually was almost

18:46

pure scotch or tequila it took about 180

18:49

proof before it really reduced the

18:52

bacterial count at much so beer is not

18:56

going to do it

18:57

not going to protect you okay so we

19:01

actually our control was we took a

19:03

nominal activated ball threw it in the

19:04

beer recovered that bacteria from the

19:06

beer measured the beer itself okay and

19:09

then do a knuckle a ball on the beer and

19:11

we started with about 10 to 6 on the

19:14

knuckle aided ping-pong balls and you

19:17

can see we recovered it was it was a

19:18

very high transfer of the bacteria from

19:20

the ping pong balls of beer again not

19:23

not surprising but and the reason we

19:26

found really no bacteria in the beer

19:28

again we were only measuring the

19:30

bacteria that we knocked Leon the ball

19:32

with that fluorescent you coli so that's

19:33

a very controlled study there so here

19:37

here in the corner I have our picture we

19:40

took we did identify from those some of

19:42

those presumptive identity recovered

19:45

from the random games recovered during

19:48

Homecoming weekend and I've kind of

19:50

highlighted these are just groups of

19:52

bacteria from birdies manual but some of

19:54

those groups include Listeria staff

19:57

ecoli arisha

19:59

and Salmonella so that the chances of it

20:02

being in the beer and in fact the world

20:05

beat there's Oh actually world beer pong

20:07

championship now you knew that or not

20:08

there's some European leagues and

20:11

actually those names Billy some and he's

20:14

kind of a CEO whatever the world being

20:16

beer pong championship and he said that

20:19

people who participate in that over the

20:21

weekends they've had started back in

20:23

2009 complained about they call it pong

20:26

flu

20:28

but he's not sure whether it's actually

20:30

the beer too much beer or something else

20:33

they're getting when they're playing

20:34

beer pong or a combination thereof and

20:35

actually back in late 2000s University

20:40

of engineer University of New York

20:41

actually stopped beer pong from being

20:44

played because they were having they

20:45

thought that there was a flu going

20:47

around it was being outbreak was getting

20:49

worse because of beer pong so there's

20:50

some anecdotal information that beer

20:53

pong may be an issue okay now if I go

20:58

into a restaurant you sit down and have

21:01

a menu and wondered who's touched that

21:03

menu before I have pretty much everybody

21:07

in the restaurant okay people have been

21:09

there before you the waitstaff okay so

21:13

question is well one question I ask is

21:16

can you get sick from eating out the

21:20

answer is yes

21:21

the CDC between 1998 and 2015 report

21:25

about twenty five lowest twenty thousand

21:27

reported foodborne outbreaks and

21:29

outbreaks different from sick an

21:31

outbreak requires multiple people so but

21:34

those are the ones the CDC can document

21:36

most easily 72 percent report reported

21:40

from a single replicate replication

21:42

preparation location and we'll get to

21:45

the next about 63 percent we're from

21:47

restaurants or delis good news is there

21:51

are public health inspections and you

21:54

may have gone in restaurants I know in

21:56

the East Coast you probably hear there's

21:57

a B and C ratings if you don't see a I'd

22:01

walk out in fact I don't know about

22:05

Orange County but LA County last I

22:07

checked online they check to spend about

22:08

ten million dollars in these inspections

22:10

so that's the good news

22:12

they're trying to keep the sanitation

22:15

good news the case but I don't know if

22:16

there's any protocol for cleaning menus

22:20

here's a breakdown again from these

22:22

outbreaks again not all illnesses but at

22:25

that's 63% from restaurants or delis 15%

22:28

from other we don't know 12% from

22:31

private home and 10% from catering so

22:34

again the answer is you can get sick

22:36

from eating out we went out

22:40

in round Clemson area and swab menus

22:44

again we had two parts of this study

22:46

again we went out and did random

22:47

sampling and then did some transfer

22:49

study in the lab this is the first part

22:51

and we just went around check the

22:53

reference but he categorized them best

22:55

we could as far as type of restaurant

22:57

and got a Mexican restaurant there hub

23:00

piece of joint Steakhouse you call them

23:03

upscale on a wooden kind of relative and

23:06

then other and we took a swab swab is

23:10

same pattern on each menu and then right

23:13

back to the lab and measured now you can

23:15

imagine students going into a restaurant

23:17

and this is not probably something the

23:19

restaurant want you to do you see

23:21

someone swabbing anything in the rest of

23:23

their gonna be suspicious so it's kind

23:24

of under the cover or whatever night I

23:27

did I did some myself but so that you

23:30

can imagine students kind of doing that

23:31

this is a busy slide here but actually

23:37

be categorized when they were there or

23:39

maybe trying to figure out there has

23:40

been slow in busy times and busy times

23:42

between 11:00 and 1:30 or 5:00 and 5:30

23:47

and seven during dinner time really

23:50

there was no pattern across the board

23:52

between slow and busy but these are

23:54

actually total bacteria so the pizza

23:56

joint bar Mexicans say this is no

23:59

condemnation of a type of restaurant

24:00

just our rent our our simple sample and

24:02

Clemson but there were a maximum one

24:08

case over 3,000 bacteria on menu and as

24:12

low as actually what is it fifteen

24:15

average average was fifteen the lowest

24:18

was it looks like thirty far as a

24:20

maximum but I kind of say in the bottom

24:23

there actually this is a samples exact

24:26

sample and the total surface area on the

24:29

menu is about forty to eighty times

24:30

greater dependent in menus are different

24:32

sizes so it could be 40 80 times as

24:35

large as higher than this if you take

24:37

the whole surface of mean you're not

24:38

likely to be the same but it's gonna be

24:40

higher anyway then we actually looked at

24:42

staff because staff is a common hand and

24:46

also can be a foodborne pathogen and

24:48

there were not as many but there were

24:51

Staphylococcus there again

24:53

and again slow and busy really didn't

24:56

have a pattern but bottom line is

24:58

there's still bacteria staph bacteria

25:01

being found on these random sample menus

25:05

so the in the lab decided again to take

25:11

inoculate menus see if it is transferred

25:14

to the hands and says how we did that

25:16

very simple we found that ela ecoli was

25:21

transferred to the menus at very high

25:22

rates on average 11% of the bacteria

25:26

were transferred that we're on the menu

25:28

to your hands if they were there now 11%

25:30

doesn't sound that bad but the problem

25:34

is if you've got a million cells you

25:37

could have over a hundred thousand cells

25:39

on your hand and again most menus

25:41

probably aren't that contaminated but

25:43

you could have you've probably seen this

25:44

in some restaurants child putting food

25:49

on the menu or coughing on a menu or

25:51

worse I don't know

25:53

so and a maximum of course at 32 percent

25:57

of the bacteria on that menu was

25:59

transferred to use of hands so there was

26:02

significant amount of bacteria

26:03

transferred in some cases so we are

26:07

curious now bet how it survived so we

26:08

inoculated menus and then left them for

26:10

24 hours and 48 hours and again we see a

26:13

big reduction in percent but still if a

26:18

highly contaminated menu is there and

26:19

it's not being sanitized over a day or

26:23

two there's going to be back to your

26:25

surviving and other studies have found

26:28

that staff can survive on plastic

26:30

laminated surfaces for up to 90 days so

26:32

there is a significant chance of that

26:34

actually again turns out that the

26:37

bacteria more likely to be transferred

26:39

in plastic and is paper kind of some of

26:42

the study we've done before so again

26:43

this begs the question maybe there

26:45

should be I some I'm sure restaurants

26:47

clean their menus but there may be a

26:48

standard hasip plan to clean menus

26:53

what's next burning blowing birthday

26:56

candles at a calligraphic here

26:59

so you've probably been to a birthday

27:01

party and I want to get really young or

27:04

whatever do you see kids in there and

27:07

they're getting rid of the cake and

27:08

they're blowing then they're coughing

27:09

and they're blowing against whatever

27:10

trying to look because could be it could

27:13

be a problem now where did blowing

27:14

birthday candles that come start they're

27:18

always documented written part I found

27:22

was that back in the 1700s I believe it

27:26

was a man named anyway he yeah they lit

27:31

candles also candles being burnt on

27:34

cakes and smoke going up was believed to

27:37

engage in Greek to be Greece to be

27:41

wishing well to the gods but anyway that

27:44

first document he was back in the 1700s

27:46

now it's very common unless any birthday

27:49

child's birthday party has candles being

27:52

blown out so we decided to test this and

27:56

this is how we did it because really

27:58

where the bacteria is going to be is on

28:00

the top so we set up our mock cake here

28:03

made a Styrofoam base with a luminol and

28:07

Nathan and spread icing on the layer on

28:09

top didn't actually put candles through

28:11

that stick in the styrofoam so we can

28:13

simulate blowing candles out and so we

28:16

had our tests we had subjects blowing

28:20

candles out and then we'd also would do

28:22

the exact same thing without blowing

28:23

candles out have a control but candles

28:25

in there and took them out and actually

28:27

enumerated the bacteria on both those

28:29

cases to compare blowing candles out

28:31

versus everything except not blowing the

28:33

candles out pretty simple right so we

28:38

were surprised to find a lot of bacteria

28:41

being landing on the top of the cake a

28:44

maximum again I think maximums and

28:46

minimums are pretty important to

28:48

consider but our mean almost three

28:52

thousand we blew it when when they were

28:55

blown out again these are we didn't have

28:57

any missed cases someone's breath

28:59

blowing on their we didn't have any

29:01

labeled bacteria like we did before with

29:04

the e.coli so this is just some ones

29:06

there so there's going to be some

29:08

bacteria there we've had 183 bacteria

29:10

versus over 3,000 so clearly there's

29:11

bacteria transfer

29:13

the median still 600 and a maximum of

29:17

37,000 bacteria found on one of the

29:20

cakes being blown so low versus no blow

29:25

so what where's that leave us by our

29:28

arrow saws and we're talking ice a

29:29

little before with some with before with

29:31

my talk and average by oh error so like

29:35

I'm talking now unfortunately I better

29:36

back up because I'm generating by our

29:38

aerosols and they've been known to stay

29:40

in the air for 30 hours some studies the

29:45

particle size and by aerosols from

29:47

speaking is about 16 microns in size

29:49

coughing a little smaller because you're

29:51

forcing it out when bacteria are about

29:54

one-tenth the size of a bio saw droplet

29:57

and viruses about one hundredth so you

30:00

can see the size there so they can ride

30:01

on these and they do very comfortably

30:04

fact one study found that in a room of

30:07

people talking up that there were six

30:10

hundred ninety three to six thousand two

30:12

hundred ninety three bacteria per cubic

30:14

meter and in fact talking about blowing

30:17

you're actually blowing on a cake

30:19

they're probably generating more bio

30:21

aerosols than just talking and in fact

30:25

there are several infectious diseases

30:27

that are transferred specifically by the

30:29

saliva droplets between tuberculosis

30:32

pneumonia flu SARS and Legionnaires

30:35

disease so uh you know and there's a

30:38

story of typhoid mary my nose a story of

30:41

typhoid mary mary milan worked as a cook

30:45

irish immigrant and she would had no

30:48

symptoms so it doesn't necessary

30:50

coughing and be sick to be a carrier

30:53

she's quite a sad story for her because

30:54

during that time didn't know that she

30:57

had she had no symptoms she because she

30:59

was being unjustly accused but she was

31:02

found to be a carrier of typhoid and

31:04

eventually quarantined on an island so

31:08

you want to be sick be generating bio

31:12

aerosols

31:14

here we go hand dryers are bacteria

31:16

blowers

31:18

okay now you've ever been in a bathroom

31:20

and probably really the hide the high

31:23

velocity air dryer hand blowers I

31:27

believe worse if you want to say

31:28

categorize them than the regular ones so

31:30

to speak but you've been in there and

31:32

they're blowing towels around the

31:33

bathroom and so forth it's not that

31:35

energy we talk about by our aerosols it

31:37

goes right along with this is that it's

31:40

also buying blowing water droplets

31:42

around the room in fact you flush a

31:45

toilet

31:48

there's bio sauce coming out the toilet

31:52

the FDA has approved is that currently

31:58

as approved hand dryers and food in

32:03

occasions as a hand drying method you

32:07

notice you're in a hospital you don't

32:08

see air hand dryers in a hospital areas

32:11

because they're not approving medical

32:13

because obviously gonna blow things

32:15

around in the hospital in the room so

32:17

hand towels in that case are used there

32:20

so what do we do we went out again we

32:24

had two phases of this study went around

32:27

the Clemson area went to the University

32:29

bathrooms that had hand lowers grocery

32:32

stores and then gas stations combination

32:36

markets and went in there and again went

32:40

in there where nobody was in the

32:41

bathroom and put a petri dish under the

32:43

blower turn it on let it run this cycle

32:46

take him back to the lab had a swab in

32:49

there we swab the button as well and

32:51

also the intake have you ever seen those

32:53

intakes underneath what they're sucking

32:56

into the okay so we swab that as well

33:00

what are we fine we found in we found a

33:03

lot of bacteria the push button and air

33:06

inlets were quite high and again people

33:12

are touching them with their hands and

33:13

they're as they're sucking back they're

33:15

kind of concentrating bacteria as they

33:16

suck it in from the intake you're coming

33:20

out not as bad but still it's blowing

33:22

out bacteria in the room and in the

33:25

grocery stores highly enough where the

33:26

highest ones we found and say much for

33:28

Christmas tours in the Clemson area I

33:30

guess

33:32

cause campus and gas stations again over

33:35

2,000 bacteria on those outlets and

33:37

arranged there you see up to 8,000 both

33:40

cases and 37,000 in the grocery store

33:43

and again these are different we kept

33:45

track of velocity air velocity

33:48

temperature some are different

33:50

temperatures so keep track of all that

33:53

yeah man

33:56

man we got worse than women the men's

34:00

bathrooms are a lot worse than women's

34:02

even though the food off the floor

34:04

we got the dirty bathrooms so we

34:09

categorize agate-stone on gender now

34:13

here's a second study and that extra

34:15

study on the left is someone else's and

34:17

along the right of the screen is the one

34:19

we did so we inoculated on the right

34:21

side to ours first a nozzle with

34:23

bacteria that there's bacteria on that

34:25

nozzle then we put these plates petri

34:27

dishes certain distances from that lower

34:30

turned it on

34:32

30 seconds let it run its cycle and you

34:34

see the bacteria collected up to a yard

34:37

away 76 and 37 and different angle and

34:42

we were collecting bacteria significant

34:45

difference away a distance away from

34:47

that blower based on its one cycle now

34:51

that study on the left is very

34:52

interesting wish I thought of this

34:54

someone had a air dryer they put black

34:59

paint on it and I have green there but

35:00

he put a black paint on the nozzle had

35:02

someone standing in front of it like

35:03

they were drawing their hands and they

35:05

turned it on with their wearing a white

35:06

tie bat suit this shows you where the

35:09

spots ended up so one spot up by the

35:12

mouth 144 spots in the chest and so four

35:15

so clearly it's blowing whatever's there

35:18

onto you or on in the room there's other

35:22

studies that show that it knock you

35:25

lated the the hand dryer and several

35:28

yards away in the bathroom they're

35:29

collecting that bacteria so clearly as

35:32

we know a bio aerosols they're going to

35:35

be blown around the room and a hand

35:36

dryer is doing that in bathrooms that's

35:41

why they're not in hospitals one reason

35:45

okay we talked about passing we have a

35:47

have a we didn't study on sharing food

35:49

but I'm focused on passing popcorn again

35:51

I've mentioned before I got this idea

35:54

because I was a teen popcorn and I got

35:55

him one that was wet and how did I get

35:56

wet so that's where we got this idea a

36:01

little history about popcorn if you will

36:05

back in 4,000 years they found a 1948 in

36:09

New Mexico they found that ear of corn

36:11

in a cave and it was the one I'm talking

36:13

there on the left side of the screen it

36:16

was about 4000 years old nothing do with

36:18

popcorn but 1519 the eight Aztecs used

36:22

popcorn for eating and decoration really

36:24

popcorn came for the US I believe in the

36:26

1800s when sailors actually sailing up

36:29

from South America 1930s popcorn during

36:33

the Depression was a very popular snack

36:36

because it's very expensive you'll go to

36:38

movies and have a snack and it was very

36:40

expensive to get very popular and then

36:43

you remember I remember Jiffy Pop that

36:46

was a big breakthrough stove and it

36:47

popped by itself and then microwave

36:50

packages introduced in the 70s that's

36:53

kind of quick up corn so eat popcorn

36:57

with your hands there was a study this

37:01

is the UK though so you're right unless

37:02

you from UK anybody from the UK they did

37:08

a study in the UK of five cities 28% of

37:12

the UK commuters had fecal matter on

37:14

their hands they were worse for people

37:16

who ride buses apparently so that's fun

37:17

and if you're been on the bus but

37:20

holding those handles and whatnot always

37:22

worries me these anyway these are all

37:26

things that you can have on your hand

37:27

then you go to a movie theater or some

37:30

what not you someone else it was a movie

37:32

theater and touches a seat and so forth

37:34

you can imagine that so what do we a

37:38

simple method again we did this all in

37:40

the lab we inoculated hands picked up

37:43

popcorn and then we named you late

37:44

enumerate the bacteria on the hint that

37:46

we picked up and also what was left in

37:48

the mole and we did a little pre study

37:51

to see how much is in a handful try to

37:52

standardize the amount that our students

37:54

do it multiple times and weigh it and we

37:56

found about two and a half grams

37:58

was a handful for most people try to

38:00

standardize that amount this surprised

38:04

me that this is the percent of samples

38:07

that were contaminated I would expect

38:10

the 85% to be contaminate you picked up

38:13

and I was really surprised that 79% of

38:16

what was nothing the bowl was also

38:17

contaminated that doesn't bode well for

38:20

sharing popcorn with someone else and

38:23

again we used a labeled e.coli so we

38:25

knew we were only counting the bacteria

38:27

that was on the hand that we hadn't had

38:29

inoculated and here's the you know the

38:36

number of bacteria and we had a mean 185

38:41

but a high number of hundred ages not

38:43

thousand 80 120 and then renamed

38:46

remaining in the bowl again very low

38:47

numbers as far as the mean but I think

38:50

for fifteen or handful was would be a

38:53

problem interesting on the Left I had on

38:56

the right side there I have how many

38:58

handfuls are in a bucket of popcorn

39:01

typical size it's gonna be 24 to 48

39:04

handfuls if you go to the movies and get

39:06

a standard size doesn't master ones but

39:09

just a regula it's gonna be 24 to 48

39:11

handfuls so you imagine you're going

39:13

multiple times we need just one scoop so

39:15

that could magnify that number

39:17

significantly so what's on the popcorn

39:22

I'm sorry

39:24

la New York

39:26

this wasn't a research 20/20 did a study

39:29

a few years ago and found fecal matter

39:31

on the movie theater seats in LA in New

39:34

York

39:35

not to mention probably again back to

39:37

the hands and human transfer probably

39:39

the person sitting if you don't know

39:41

them real well or they're sick they're

39:44

putting their hand in her mouth and put

39:45

it back in the bowl so that could be

39:50

problem there so last one before we get

39:57

to some common sense double dipping do

40:01

you remember that Seinfeld

40:02

that's where he got the idea was from

40:03

Seinfeld this is several years ago

40:05

George Costanza goes to the weight of

40:08

the wedding or the wake the wake funeral

40:10

and Timmy's there and he's there double

40:12

dipping and they get in a struggle and

40:14

George says I don't dip that way and

40:17

Timmy says it's like putting your whole

40:19

mouth in the dip so I actually found

40:21

this newspaper Otto I took a picture of

40:23

it because I couldn't resist that city

40:26

cop was indicted for double dipping but

40:28

it obviously it's a double dipping

40:30

different kind of double dipping

40:33

so we had three sets of experiments

40:36

because first of all I didn't think

40:38

initially that we were going to get much

40:40

transfer you think you bite chip or a

40:42

cracker and there's not much surface

40:44

area there you stick it in you know

40:46

check it out it's not going to be much

40:47

transferred so we did the first one with

40:48

sterile water just to see if there's any

40:50

transfer at all found transfer so he

40:53

decided to go well you know usually dips

40:55

are different or low pH and so we did

40:58

three different ph levels pH four five

41:00

and six

41:00

and we found transfer again so we

41:03

decided to go with the real dip and we

41:06

did three different store-bought dips

41:08

and if you work at food science work in

41:10

the lab food microbiology the reason we

41:12

really didn't go to dip drop the bat

41:13

because isolating bacteria from food

41:15

samples is a little more work so we

41:17

that's why we did this way okay I think

41:21

I have a little movement here yeah so

41:24

that kind of scribes the whole thing by

41:27

the way Alton Brown you know Brown is he

41:30

defined a dip is defined by sabili to

41:32

maintain contact with its transport

41:34

mechanism over three feet of white

41:36

carpet I'm not sure salsa will pass that

41:44

test

41:46

so our first experiment again I did

41:49

wasn't sure we to get much transfer so

41:50

outside we do three but we did took a

41:53

cracker bit it dipped it put it aside

41:55

took another cracker hit it did but it's

41:58

a debt three times or did the same thing

42:01

and dipped it and didn't bite it we also

42:03

did six replicates repetitions of that

42:06

with a cracker so we're comparing three

42:09

bites and dip versus three no bites and

42:12

dip and the same thing with six then we

42:15

measure bacteria than the water after

42:16

that well we found some bacteria in

42:19

there really a lot I think considering

42:26

so we were surprised at that and again

42:28

we found it over 1800 with three bites

42:32

and 2600 with six bites so there was

42:34

more but not linearly increased with

42:38

more bites okay so now acid was acid in

42:42

food a lot of dips a little graphic here

42:45

so we did for pH for this is again just

42:48

there's water with sterile water with pH

42:50

adjusted we did five pH 5 and a pH 6 and

42:55

since we found transfer with three

42:57

crackers we didn't see any sense in

42:58

doing 6 again so we did three crackers

43:00

you being bit once before dipping versus

43:03

not being bit before dipping in a

43:06

measure the pH just a quick graphic on

43:09

pH and what kind of some points that

43:13

show foods and different things that

43:15

show you what pH their pH is lemon juice

43:17

about pH to Cola pH three and vinegar

43:20

Tomatoes depending on the very range

43:24

black coffee

43:25

human saliva blood sleet water baking

43:28

soda and milk of magnesia ammonia icy

43:31

corns one of the few foods that are a

43:33

higher pH the neutral most foods are

43:36

neutral or below and then finally on

43:39

oven cleaner and drain opener very high

43:42

pH very basic you don't want to eat that

43:45

yeah

43:46

so pH for lower number than pH 5 yeah

43:53

but a higher and pH 6 we saw a little

43:55

increase in the number of bacteria in

43:59

these

44:00

dudes and actually we did simulating a

44:03

party would you measure the amount of

44:06

bacteria right away after we dipped and

44:08

then held it two hours if you were

44:09

having a party and came back two hours

44:12

later still and the dip was there and we

44:14

saw a decrease as you see you're

44:15

interesting on the ph for really a big

44:18

decrease in peace with it all right it's

44:20

also you know those peat there's low pH

44:23

dips are gonna be okay

44:24

pH five you don't see that decreased pH

44:26

six there's not surprising

44:28

microbiologists or micro boxes in real

44:30

would understand if I understands that a

44:32

pH will kill bacteria so now we still

44:36

found bacteria though so we got a font

44:38

we got to try the real dip so here we go

44:39

we're doing salsa chocolate and cheese

44:46

so we did the same thing again three

44:48

three crackers bit and dipped versus not

44:52

bitten dipped he's one of those here we

44:55

have a partially eaten cracker I'll show

44:57

that again real quick again just like it

45:00

was a party not a Superbowl party would

45:02

be like what for six hours long so it

45:04

could be longer but we just did two

45:06

hours

45:06

keep standard some interesting things

45:09

here we didn't think about if you notice

45:11

that the salsa is higher than the

45:16

chocolate and the cheese anybody guess

45:22

why

45:23

Liza salsa higher than the chocolate in

45:25

the cheese close yes

45:30

actually one thing we didn't think about

45:32

because before we're using we're using

45:34

sterile water it has the same viscosity

45:38

salsa is very thin compared to chocolate

45:40

and cheese so when you dip it in the dip

45:43

bob falls back in versus the chocolate

45:45

and cheese it sticks to the cracker so

45:47

if you can event develop a dip that

45:50

doesn't drip you got to make there's no

45:53

problem the other thing you see here is

45:56

of course the decrease in two hours

46:01

relative to the initial count was

46:03

greater in the salsa which we respect

46:05

with the pH so anyway even with the real

46:08

dip there's there's transfer and of

46:10

course we did viscometer scholar

46:12

readings of the

46:13

so different this is this is my graphic

46:16

of a Brookfield viscometer for those of

46:18

you to put this number you stick the

46:20

unit in there and it gives you a reading

46:22

for viscosity we also actually measured

46:26

the weight of the change in weight we

46:28

dipped it a bunch of times so how much

46:29

is being left versus salsa versus

46:31

chocolate so as I said it says there the

46:34

thick of the sauce the less saliva falls

46:36

back in the bowl so that's a really

46:39

selling point I guess if you're you're

46:42

selling cheese or chocolate dip okay so

46:45

our conclusions there are of course the

46:48

oral cavity is a source of source of

46:51

pathogens the CDC again where you say

46:53

there's five infectious diseases that

46:55

can be spread by saliva and you don't

46:57

have to be any overt signs of illness to

46:59

be a carrier there's been count saying

47:03

there's twenty billion bacteria in your

47:04

mouth of course that's they're mostly

47:06

good but who knows if anybody or how

47:11

many people have gotten sick from double

47:13

dipping no knowing but I bet it's at

47:16

least one so you wrapping up now with a

47:21

few I think interesting facts probably

47:24

many of you know this from CDC one in

47:27

six Americans seventeen seventeen

47:29

percent

47:29

I usually have a foodborne illness each

47:32

year or this year estimated three

47:34

thousand Americans die from a foodborne

47:36

illness or agent and the cost from

47:40

hospitalization and loss of life was

47:42

estimated by the CDC to be seventy seven

47:44

billion dollars or 2012 I've kind of

47:48

pulled up some this summer examples

47:52

there was a recall of Ritz crackers and

47:55

goldfish I'd probably you probably

47:55

remember this due to possible salmonella

47:58

Colly if you dig down the details a

48:01

little bit it actually if it was from a

48:03

way proud power that was used in the

48:06

creation of these products it wasn't

48:08

from the really the company itself they

48:11

bought the whey powder but I guess it

48:12

Eltham utley is their responsibility

48:15

you probably member the big McDonald's

48:17

salad from Cyclospora outbreak and it's

48:21

funny because not funny but how this

48:24

gets in the media and who gets blamed

48:25

this salad was not made

48:27

by McDonald's they'll make their own

48:29

salad almaty made the salad and they

48:32

were sold at McDonald's

48:34

so that was in Illinois there were

48:38

Salmonella enroll in 26 states and raw

48:40

turkey back in July 11th and then

48:43

Salmonella and cut melons not getting

48:46

from April to July this is not my

48:51

headline like I put it on there but this

48:52

is from a from this link because it

48:55

doesn't make sense yeah you read it

48:57

after what foodborne illness on the rise

48:59

it's not a that's a bad thing

49:01

but they kind of make a point fact

49:04

statistics are according whu-oh about 10

49:07

percent the population gets food

49:08

poisoning annually about 760 million

49:10

people in the world rezoning about 420

49:13

thousand deaths worldwide and their

49:16

point is more outbreaks may be due to

49:19

better technology does it make sense in

49:21

the sentence but as I said before

49:22

outbreaks is only ones that are caught

49:25

by the CDC or the governing body we have

49:30

very rapid detection so the sooner you

49:32

cats the outbreak you can prevent more

49:34

illnesses and we have more very

49:37

sophisticated databases now the linked

49:40

outbreaks to food to catch them much

49:42

earlier ok so I have my wrapping up my

49:48

what where and which slides so what is

49:53

making a sick it's a CDC again NIH in

49:58

total illnesses we only know about 20%

50:02

the source of the organism so 80% of

50:06

what's making people sick we don't it's

50:08

not been identified more than half of

50:11

hospitalizations they again unknown

50:13

source can identify it and even deaths

50:16

same thing so the known is less than the

50:20

unknown but the ones we do know 250

50:24

disease agents top for causing illness

50:27

or norovirus Salmonella closer and

50:29

Prevention's and Staphylococcus many

50:31

people probably don't hear you don't

50:33

hear about Clostridium perfringens in

50:34

the news very much but it's there and I

50:36

have norovirus of Salmonella highlighted

50:38

because they appear in all three

50:39

categories

50:40

not for causing hospitalizations they

50:44

switch places salmonella norovirus but

50:46

now we have Campylobacter and Toxoplasma

50:49

gondii a parasite

50:51

obviously you know house cat cats carry

50:53

tax Oh mom Ghandi case you've got a cat

50:56

at home they can't hear you

50:58

they're known carriers and then this

51:03

Salmonella Toxoplasma gondii mysterion

51:07

or of are still there and then Osteria

51:09

comes out of nowhere it wasn't on the

51:10

number us is hospitalization but there

51:13

it is number three a number of deaths

51:15

which makes why Listeria is on the list

51:18

of concern because very low incidence

51:21

level very high mortality rate about

51:24

twenty percent mortality rate mostly

51:26

with the unborn fetuses so that's kind

51:33

of the look this before which so that

51:36

was our what organism now is that which

51:38

foods

51:38

I think telling that telling the general

51:41

public what organisms causing illnesses

51:43

really doesn't help you much okay but

51:46

what foods and where are these foods

51:48

coming from I think helps more so which

51:50

foods you can see it's kind of a variety

51:53

all over the place no real big segment

51:57

there in fact when you break these down

51:58

into categories meat poultry plant food

52:01

seafood dairy and eggs you can't really

52:03

dodge it unless you're I don't know you

52:06

know energy drinks out the can I guess I

52:10

don't know okay

52:12

in highly processed and where are you

52:16

getting sick we already had this slide

52:17

get outbreaks restaurant deli home these

52:21

are outbreaks again I would eventually

52:23

say the any CDC person would tell you

52:26

that probably a lot of it's caused by

52:28

whom mistakes made it at home I got one

52:34

more a couple cycles I get this we get

52:36

this comment a lot that actually or two

52:39

or two sanitary now people are getting

52:41

sick because of a year washing her hands

52:44

too much or too many too sterile I guess

52:46

so is this hygiene hypothesis for asthma

52:49

that an exposure to germs teases a

52:51

child's body to differentially harmless

52:53

substances and

52:54

and harmless ones that trigger asthma

52:57

however it's not that simple because

52:59

there are some microbes that actually

53:01

may cause asthma rather than prevent it

53:04

in addition there are all some of these

53:05

infections that also can be worse than

53:07

actually asthma so it's probably truth

53:10

on both sides of that fence but there is

53:13

compelling evidence exposed their germs

53:14

doesn't obviously increase your immune

53:16

system but there is a theory that

53:18

exposure to non pathogen is just as good

53:21

or better than an exposure to the

53:23

pathogens in some cases and kind of

53:27

taking you back there by nose of Louis

53:30

Pasteur he's probably saved millions of

53:32

lives by his germ theory and actually

53:35

developing immunizations but there was a

53:37

you don't hear much about Antoine

53:39

Beauchamp

53:40

he had the conflicting at the same time

53:42

as Louie Pasteur had the host theory he

53:45

believed that germs existed in everyone

53:46

and that they are opportunistically you

53:48

got weak they took over so again we're

53:50

coming around to that because there's

53:52

epidemic of evidence now or truth that

53:55

we see a decrease in infectious diseases

53:58

in a developing world but an increase in

54:00

autoimmune and allergic diseases

54:03

so again balancing that out is the

54:06

problem and the last kind of last thing

54:08

I want to bring up is there's the we're

54:11

learning more than the human microbiome

54:13

project actually you can send your feces

54:16

off and get it analyzed you want for $89

54:19

there's a company does that what's your

54:21

biome is in releasing your intestines

54:23

but essentially they're ten to a hundred

54:25

thousand times more bacteria in your

54:29

cells in your body than human cells

54:31

probably knew that human micro includes

54:34

bacteria fungi viruses and archaea

54:36

you're liable archaea but actually

54:38

living organisms are divided into three

54:41

categories now archaea bacteria and

54:43

eukaryotes of which we are so kind of

54:47

take an equal stance there and this

54:51

microbiome is implicated in diabetes

54:53

cancer allergies asthma MS and autism so

54:55

there's a lot of work being done there

54:57

and I kind of have broken down into the

54:58

project so again I like to acknowledge

55:01

Brian shall now ski for some of the

55:03

graphics and if I have any questions

55:06

I'll be glad to take them

55:08

[Applause]

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