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5 TIPS FOR FOOD SAFETY Hygiene and Cancer Therapy Maintaining good hygiene is important in children receiving cancer therapy because their normal immune defenses are lower during the course of treatment. The risk of infection can be reduced by following simple hygiene rules, particularly in children with leukemia, lymphoma, and solid tumors. 3

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12 Good food shopping practices 10

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14 IN THE KITCHEN 12

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16 Ethnic food 14

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18 LATIN AMERICAN CUISINE Food that can be a part of every meal Fruit (agave, avocados, bananas, cocoa, coconut, apples, grapefruit, lemon, lime, mangos, papayas, oranges, mandarins, pomegranates, pineapples) Vegetables (cabbage, lettuce, kale, carrots, chayote, nopales (prickly pears), beets, chili peppers, onions, garlic, pumpkins, egg plants, spinach, zucchini, okra, tomatoes) Tubers (potatoes, manioc, jicama (Mexican turnip)) Grains (rice, maize, quinoa, bread, pasta, tortillas, amaranth, arepas) Nuts and legumes (almonds, cashews, peanuts, packaged pumpkin seeds, beans, lentils) Food allowed on a rotation basis Fish and seafood (shrimp, prawns, octopus, cod, bass) Poultry (chicken, duck, goose, turkey, pigeon, pheasant) Eggs (chicken, quail, duckpollo, quaglia e anatra) Milk, cheese, yoghurt (asadero, cotija, mine, reggianito) Meat (beef, goat, lamb, pork) Sweets (cookies, chocolate, cake, hard candy, pudding) 16

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20 NORTH AFRICAN CUISINE Food that can be a part of every meal Fruit (avocados, bananas, figs, dates, apples, grapefruit, lemon, lime, mangos, melons, papayas, oranges, mandarins, pomegranates, pineapples, tamarind, watermelons, guava) Vegetables (broccoli, spinach, dandelions, mustard greens, turnip greens, cabbage, cauliflower, lettuce, okra, garlic, carrots, beets, string beans, radishes, onions, asparagus, egg plants, pumpkins, zucchini, tomatoes) Tubers (manioc) Grains (barley, couscous, maize, millet, rice, sorghum, amaranth) Nuts and legumes (nuts, almonds, cashews, peanuts, packaged pumpkin seeds and sunflower seeds, beans, peas, lentils) Food allowed on a rotation basis Fish and seafood (sea bream, porgy, catfish, cod, trout, mackerel, perch, sardines, shrimp, prawns) Eggs and poultry (chicken, turkey) Meat (lamb, beef) Oil (coconut, olive, palm, karite (Shea), peanut, sesame) Milk (soya, almond, rice) Sweets (cake, fruit cake, pudding, nuts, grains) 18

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22 ASIAN CUISINE Food that can be a part of every meal Fruit (apricots, bananas, coconut, kiwi, mangos, mandarins, melons, litchi, oranges, papayas, peasr, longan, pineapples, rambutan, dates, pitaya (dragon fruit), mangosteen) Vegetables (broccoli, carrots, turnips, chili peppers, egg plants, leak, spinach, mustard greens, turnip greens, cabbage, cauliflower, lettuce, pumpkins, mushrooms, citronella, peppers, lotus root, daikon, shallots, snow peas, marine algae, potatoes, water chestnuts, taro root, galangal) Grains (barley, rice, millet, buckwheat, bread, dumpling) Nuts and Legumes (almonds, cashews, hazel nuts, sesame, packaged peanuts, tofu, lentils, beans) Food allowed on a rotation basis Fish and seafood (eel, tench, carp, octopus, sea bass, shrimp) Eggs (chicken, quail, duck) Poultry (chicken, duck) Cheese (paneer), butter (ghi), Yoghurt (chaas, Lassighi) Meat (pork, beef) Sweets (Indian rice pudding, candied sweet potato, mango and coconut pudding) 20

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26 Five simple rules 24 For details, visit our website

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28 TIPS FOR KEEPING DOMESTIC ANIMALS Pets can pose a potential risk of transmitting infection to immunocompromised patients. 26 The risk of transmitting disease from animals to humans can be minimized by following good housekeeping and hygiene practices.

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32 Disclaimer The information contained in this booklet is based on an evaluation of the scientific literature and consultation with experts. The information presented herein is intended for information purposes only and solely as a general guide. Created in collaboration between Dr. Franca FAGIOLI Director of the Pediatric Oncohematology Unit and Organ Transplant Center, AOU Città della Salute e della Scienza di Torino, Ospedale Infantile Regina Margherita Dr. Maria CARAMELLI Acting Director of the Istituto Zooprofilattico Sperimentale del Piemonte, Liguria e Valle d Aosta. Dr. Bartolomeo GRIGLIO Coordinator of The Centre for Research and Documentation in Food Safety (CeIRSA), based at the Veterinary Services of Local Health Unit TO5 (ASL TO5) of Piedmont, Chieri. This project was realized thanks to the support of Last revised October 2014