Food Safety Issues Related to Street Vendors

Food Safety Issues Related to Street Vendors Introduction Street food vending forms a very important segment of the unauthorized sector of food industry. As a result of rapidly growing economy and better employment opportunities in urban areas, urban sector attracts a large proportion of population for employment and results in settlement of this section in other areas of big cities and development of suburbs. This growth is expected to increase significantly with the increasing urbanization population growth, especially in developing countries. Due to this transition, food habits of people are getting affected. In India during recent years there is an increasing trend in the sale and consumption of foods on the roadside. Though Street food vending is found around the world, but it has variations within both regions and cultures. Nowadays street food is becoming very popular and is in demand because it saves one’s time and energy as it is ready to eat, street foods reflect the traditional local culture and is one of the best ways to experience the real cuisine of any community. The Street vended foods include foods without any preparation, ready to eat food and foods cooked on the site. A part from this street food is appreciated for the taste, flavour they offer at low, affordable price to the general population. (Bhowmick, 2005) Street vended foods include foods as diverse as meat, fish, fruits, vegetables, grains, cereals, frozen produce and beverages. Street foods may be sold in places or found in clusters around public places, such as the market or fair, place of work, schools colleges, railway stations, hospital and bus terminals and may be vended from roadside makeshift stalls, carts or small establishments by hawkers or vendors . According to food and agricultural Organisation (F A O), 2.5 million people eat street food daily. The national policy for urban street vendors/hawkers of India notes that street vendors, roughly estimated to be 10 million, constitute approximately 2% of the metro populations. FAO defines street vended foods as â€Å"Ready – to – eat foods and beverages prepared and/ or sold by vendors and hawkers especially in street and other similar public place (FAO 1988). According to National policy on urban street vendors, street vendor is broadly defined as a person who offers goods for sale to the public without having a permanent built up structure but with a temporary static structure or mobile stall (or head load). Street vendors may be stationary by occupying space on the pavements or other public /private areas or may be mobile in the sense that move from place to place carrying their wares on push carts or in cycles or baskets on their heads ,or may sell their wares in moving trains, bus etc. (National policy on urban street vendors,2004). The rising popularity of street food vending, besides its social support system for the under privileged urban population is it’s easily accessibility; variety in taste, low cost fresh and often nutritious attributes. People spend almost 50% of their income on food; among low income groups this figure may go up to 70% (Bhandari). A study conducted in India in the city of Varanasi, observed that about 42% of working men and women in the age groups of 25-45 and 61% of the students in the age group of 14 -21 consumed food from the street vendors rather carrying foods from home to the workplace . About 82% of people of all age groups prefer to go to street vendors against 18% only who prefer to go to the restaurants in the evening (Mishra2007) FAO and WHO recognising this spiralling Asian trend, has promoted documents on â€Å" Food safety requirements for street vended foods† and also on â€Å" Training aspects â€Å" of safe food for small operator and inspectors. Presently countries like Singapore, Thailand and Malaysia have put together a structured national program to promote food safety in street vended food. IMPORTANCE of street foods The concept of traditional street food has acquired new dimensions in developed countries with food streets/ food centres emerging as new tourist attractions. Though street food culture pervades almost all countries of developed regions, the Asian street food is considered as the best in the world. The Time magazine survey of 2004 and the CNN report of March 2012 find Asia’s 10 greatest street food cities and tell us how the street food make those cities economically bustling and socially charming. Malaysia’s Penang, Taiwan’s Taipei, Thailand’s Bangkok, Japan’sFuloka, Vietnam’s Hanoi, Korea’s Seoul, Singapore, China’s Xian, Philippines’s Manila and Cambodia’s Phnom Penh find their places in this list of 10 top Asian street food cities. Street foods play a very important role in providing inexpensive and nutritious foods, particularly for millions in the middle and lower income groups. The FAO and the WHO have carried out several studies on street foods in different countries of Asia, Africa and Latin America. Besides their convenience and employment potential, the greatest factor in their favour is the fact that they can provide per capita calorie and protein requirements within a cost of around $1(wilnaro). It also plays an important social- economic role in terms of employment potential and in serving the food and nutritional requirements of consumers at the affordable prices. It requires a low capital investment, offers a chance for self employment and provides business opportunities for developing entrepreneurs. It also contributes to local and national economic growth by supporting local agricultural producers and food processors. Thus the socioeconomic significance of street foods is immense. Street foods are an attractive experience of varied foods for tourists. In developing countries, making and vending street food provides a regular source of income for vast number of men and particularly women, who lack education or skills. Also the street food vendors are valuable, because it is a large significant area supporting the livelihood of millions of the urban poor. Nothing represents the rich tapestry of India’s multi cultural fabric better than street food. The cuisine of a place speaks volume about the weather; cultural life style and habit of the people. The convenience and low price make street food the most favoured choice. Many itinerant workers who do not have proper housing and cooking facilities have no option but to depend upon street foods. Risk factors involved Food borne illness associated with the consumption of street vended foods has been reported in several places in India. Multiple lines of evidence reveal that foods exposed for sale on the roadsides may become contaminated either by spoilage or pathogenic microorganisms (Bryans et.al 1992:A shenafi;1995;WHO,1984) Food can easily be adulterated to defraud the consumer and deprive him of his money’s worth. According to WHO (1989), Food handling personnel play an important role in ensuring food safety throughout the chain of food production and storage. Mishandling and disregard of hygiene measures on the part of the food vendors may enable pathogenic bacteria to come into contact with food and in some cases survive and multiply in sufficient numbers to cause illness in the consumer.Tamberker et.al,reported that poor hygiene of vendors resulted in higher contamination(66.6%), reducing to (33.4%) where hygiene was fare. This higher contamination can be due to dirty clothing, unhyg ienic handling and serving practices, contaminated hands and lack of knowledge of hygienic practices. Many foods are highly perishable. They are easily contaminated when produced in an unhealthy and unclean environment. Microbiological contamination and spoilage of food needs to be prevented through good handling practice (Ham bridge). More often than not, the microbiological quality of street foods, especially that of prepared dishes and drinks is below standard, indicating inappropriate sanitary and hygienic practices during preparation and handling. Most of the foods are not well protected from flies, which carry food borne pathogens. Food borne pathogens are recognized as a major health hazard associated with street foods. Salmonella species is a post modern pathogen, which belongs to important food contaminating bacteria, causing a high number of human infections worldwide. Consumption of raw or inadequately processed animal foods can have a significant public health risk as such foods are frequently contaminated with pathogens and occasionally with toxic chemicals. Similarly vegetables, fruits and grains may carry hazardous contaminants. Further, unsanitary environmental conditions like proximity of the establishment to sewers or garbage dumps, pollution from traffic add to the public health risks associated with street foods. Additional hazards may also be in the form of use of improper food additives (often unauthorized colouring), myotoxins, heavy metals and other contaminants (such as pesticide residues) in street foods. Infrastructure developments are relatively limited with restricted access to potable water, toilets, refrigeration and washing and waste disposal facilities. Food Safety Practices—effects on public health With the increasing pace of globalisation and tourism, the safety of street food has become one of the major concerns of public health. There is difficulty in controlling the large numbers of street food vending operations because of their diversity, mobility and temporary nature. Food safety issues have been the most wanted intervention in the field of nutrition all over the world. Safety of the street food is an important aspect in the field of nutrition security. Ensuring food quality and food safety is equally significant for the welfare of an individual, a community and a nation. Since this is an unorganised sector, there is felt need of generating government’s initiation for its development. There is also a need of generating food and personal hygiene and ensuring an effective system of regular health examination of vendors and regular sample collection of food they are serving to the customers. In spite of numerous advantages offered by street foods, there are also seve ral health hazards associated with this sector of the economy. Many human illnesses are food related, because of lack of basic infrastructure and services, such as nutritional status and economic well-being are affected by food carrying pathogenic organisms and their toxins and by poisonous chemicals. Appropriate location and condition of vending stalls, observation of personal hygiene by vendors, employing washed and clean utensils, using potable water and proper drainage and waste disposal are some steps to be taken which can lead to hygiene and safe food. In India, traditional methods of processing and packaging, improper holding temperature, poor personal hygiene of food handlers are still observed during food marketing and sales. Consumption of raw inadequately processed animal foods can have a significant public health risk as such foods are frequently contaminated with pathogens and occasionally with toxic chemicals. Similarly vegetables fruits and grains may carry hazardous contaminants. There are also problems with the use of unauthorized food colours and some other additives, as well as chemical contamination from the environment. Various studies have been also done to observe the personal hygiene, health and food handling practices like (vendors not wearing clean clothes, are dirty, chewing tobacco during food handling and do not wipe hands after every service of food.). Bhasker et.al (2004) reported that defective personal hygiene can facilitate the transmission of pathogenic bacteria found in environment and on people’s hands via food to humans. Handling with bare may result in cross contaminants, hence introduction of microbes on safe food (FAO’1997). Paulson D.S (1994) also reported that outbreaks are generally caused by foods due to poor personal hygiene of the vendors, during preparation or storage of food. Unhygienic surrounding like sewerage, improper waste disposal system and inadequate water supply attract flies and houseflies which further increase food contamination as reported by Chumber et.al, 2007. To instil professional face to street food operators, the street food safety manage ment needs a Hazard Analysis Critical Control Point (HACCP) and the prerequisite system as good manufacturing practices (GMPs) and good hygiene practices.(GHPs). Following Table reports current hazards and critical control points observed at the main steps along the street food production chain. Table—Hazards and critical control points identified at different steps of street food production chain Source:Chirag Gadi Microbial hazards and their solution, critical points, practical control processing measures and monitoring procedures as well as principles of food microbiology and food safety need to be incorporated for the safe street food preparation. Standards or Criteria to maintain while handling the food. The standards of street food safety can be upgraded by the vendors through implementation of some basic good practices with respect to hygiene and food handling. Standards for food handler requirements such as hand-washing, working attire, personal hygiene and personal behaviour should be maintained. Standards for food-vending equipment; which must be food grade ,easy to clean and sanitize, standards for food serving such as safe food cover and packaging, regular hygiene and sanitation inspection and monitoring of good food handling practices should always be maintained. Kinton and Ceserani(1996) recommended that food stuffs of all kinds should be kept covered as much as possible to prevent contamination from dust and flies. The food safety and standards Authority of India (FSSAI) has started engaging with the national association of street vendors of India in systematizing and professionalising street foods across cities in the wider interests of ensuring public health and protecting livelihood of street food vendors. Also FSSAI is in the process of developing guidelines and regulations to ensure food safety and safe street foods for state governments to implement. The Food safety and standards Authority of India has prepared a checklist, guidelines and prerequisite for registration of medium to small food –vending establishment to ensure food safety and upgrading of existing conditions of eating establishments. Several agencies at the level of the state governments, the department of public health, commerce, consumer affairs and food processing, the local municipalities and the police administration have identified roles and responsibilities in these guidelines and regulations that are expected to be executed to ensure safe street foods. Microbial hazards and their solution, critical points, practical control processing measures and monitoring procedures as well as principles of food processing microbiology and food safety need to be incorporated for the safe street food preparation. Appropriate location and conditions of vending stalls, observation of personal hygiene by vendors, employing washed and clean utensils, using potable water and proper drainage and waste disposal are some steps to be taken which can lead to hygiene and safe food. Policy issues for provision of safe food Adapting the five keys to safer food to address the street food sector (WHO,2011). WHO has developed few measures for street food vendors based on the principles of five keys to safe food. These can be incorporated and taught in Indian scenario. These are: Key 1: keep clean Key 2: raw and cooked food should be kept separated. Key 3: destroy hazards when possible. Key 4: keep microorganisms in food from growing. Key 5: use safe water and raw material. The Ministry of Food processing industries has proposed schemes for â€Å"’Safe Food Towns’’ and safe food streets’’. These schemes aim to upgrade the quality of street food by promoting Indian cuisines at affordable rates in locations of tourist importance through upgrading and creation of common Conclusion Keeping in view the scale of operation of such enterprises, it is quite a challenge to bring about improvements in the street food scenario. Policing action has to be coupled with training. Local bodies have also to provide facilities for safe water supply, garbage disposal etc. The HACCP approach can be applied to keep down hazards to consumers.(Raj.k.Malik)

Congestive Heart Failure Essay

Abstract The prevalence of congestive heart failure is on the increase both in the United States and all over the world, and it is the leading cause of hospitalization in the elderly population. Congestive heart failure is a progressive disease generally seen in the elderly, which if not properly managed, can lead to repeated hospital admissions or death. Heart failure means that the heart muscle is weakened. A weakened heart muscle may not be strong enough to pump an adequate amount of blood out of its chambers. To compensate for its diminished pumping capacity, the heart may enlarge. Commonly, the heart’s pumping inefficiency causes a buildup of blood in the lungs, a condition called pulmonary congestion. Prevalence Congestive heart failure continues to grow in prevalence due to the ageing population and the survival rates of myocardial infarctions (Fundukian, 2011). Congestive heart failure means that the heart is still pumping blood, but at a slower rate than normal, so the pressure in the heart starts to increase as a result. This slower heart rate causes the heart to be unable to pump enough blood to provide the rest of the body with the amount of nutrients and oxygen that it needs. As the pressure increases in the heart, the chambers stretch to hold more blood, or they become stiff and thickened. This compensation mechanism works, but eventually the myocardium will weaken and the heart will decrease in its efficiency to pump blood. This results in a reduction of blood supply to the kidneys, which then begin to lose their ability to excrete salt and water. This lessened function of the kidney causes the body to retain more fluid. The fluid build-up then leads to edema or congestion of tissue s (Fundukian, 2011). Incidence Congestive heart failure is a serious condition with significant morbidity  and mortality. In the United States, African Americans significantly have a higher risk for developing CHF than other ethnic groups, whether or not the heart failure is preceded by a myocardial infarction. Hypertension and diabetes are more prevalent in African Americans, and that explains a large part of the racial and ethnic differences in the risks for developing CHF (Gore, 2008). Assessment. Patient’s demographics, clinical history, alongside with complete history and physical is obtained by the nurse. Head to toe assessment is done to check for any physical signs of complications from the disease, commonly dependent edema, and the functional status of the patient. The functional status, which includes the activities of daily living (ADL), is assessed to determine the severity of the disease (Ramos, Prata, Goncalves, & Coelho, 2013).In addition to the physical assessment, brain natruretic peptid (BNP), a hormone that checks for the functionality of the heart is also checked, and is a measuring tool to diagnose CHF (Ramos, Prata, Goncalves, & Coelho, 2013). Pathophysiology. Heart failure may be classified according to the side of the heart affected, (left- or right-sided failure), or by the cardiac cycle involved, (systolic or diastolic dysfunction)(Haydock & Cowie, 2010). Late blood supply edema may develop (Haydock & Cowie, 2010). Where edema occurs depends on what side of the heart is failing. Left-sided heart failure results from the inability of the left ventricle to function properly. Blood fails to get out to other parts of the body as quickly as it returns from the lungs. When blood doesn’t get back to the heart, it backs up in the lungs blood vessels. Blood is then forced into the intracellular space in the lungs causing pulmonary edema (Haydock & Cowie, 2010). Right-sided heart failure results from the inability of the right ventricle to function properly. Blood isn’t pumped to the lungs as quickly as it returns from the other parts of the body. Fluid then begins to back up in the veins and pushes out into the tissues, causing edema, most often in the feet, lower legs, and ankles. (Haydock & Cowie, 2010). Sluggish blood flow also deprives organs of oxygen and other nutrients causing fatigue and difficultly with physical exertion. The heart tries to compensate for its lack of pumping ability by becoming hypertrophic. This causes the muscle in the heart’s wall to thicken thus improving the pumping  ability of the heart (Haydock & Cowie, 2010). The heart may also increase heart rate to improve output and circulation. The kidneys eventually join in by retaining salt and water to increase volume, but this extra fluid can cause edema and further complicate the situation. (Haydock & Cowie,2010). Despite varying etiologies, there are molecular and biochemical features that contribute to heart failure (Keys & Kotch, 2004). Activation of the sympathetic nervous system causes enhancement of the adrenergic system, which in effect, contributes to loss of cardiac function. Enhancement of adrenergic functions can lead to hypertension in susceptible individuals, and in effect, contributes to heart failure (Keys & Kotch, 2004). Causes. Causes of congestive heart failure could be coronary artery disease (CAD), which is when the arteries that supply the heart with oxygen and blood become blocked or narrowed. Other causes include previous heart attack due to the tissue scarring, or cardiomyopathy which is damage to the heart muscle. Cardiomyopathy is caused by problems other than decreased blood flow. The causes include infections, alcohol, or drug use. Other factors that can contribute to congestive heart failure are hypertension, heart valve disease, thyroid disease, kidney disease, di abetes, or congenital heart defects (Fundukian, 2011) Symptoms. Symptoms of congestive heart failure consist of fatigue, dependent edema, fluid build-up in the lungs, increase in urination because of the extra fluid, nausea, vomiting, abdominal pain, and decreased appetite (Fundukian, 2011). Diagnosis of CHF is done first by physical examination, such as heart rate, and heart sounds or murmurs. If a physician believes more tests are needed, common ones include an electrocardiogram or chest x-ray to detect previous heart attacks, arrhythmia, or heart enlargement, and echocardiogram using ultrasound to image the heart muscle, valves, and blood flow patterns. The physician may also want to do a heart catheterization, to allow the arteries of the heart to be visualized using angiography. Upon getting a diagnosis of CHF, the physician will usually start with asking the patient to change things in their diet, such going to a low sodium diet. They may also want to prescribe medications. Types of medications could include angiotensin converting enzyme (ACE) inhibitors,  which block formation of angiotensin II hormone, angiotensin receptor blockers (ARB) to block the action of angiotensin II at the receptor site, and diuretics, just to name a few (Fundukian, 2011). If these primary treatments are ineffective for the patient, the physician may want to revert to other methods such as surgery. Depending on the specific problem in the heart, the physician could recommend bypass surgery, to route blood around the blocked artery, heart valve surgery for replacement or repair of a dysfunctional valve, or infarct exclusion surgery to remove scar tissue that accumulated due to a previous heart attack. The final measures would be placement of a left ventricular assisted device (LVAD), which helps to pump blood throughout the body. This is usually only used in patients who are waiting for a heart transplant. The outcome or prognosis of congestive heart failure is extremely variable. It is usually related to its functional class. These functional classes are Class 1, patient has a weakened heart but is without symptoms or limitation, Class 2, only limitation of heavier workloads, Class 3, limitation of everyday activity, and Class 4, severe symptoms at rest or with any degree of effort (Fundukian, 2011). Management of congestive heart failure. Healthcare workers play an important role in educating patients with congestive heart failure about the disease and how to manage it. According to Garcias and Wright (2010), congestive heart patients who are taught by knowledgeable nurses may have a better understanding of their disease and how to improve their quality of life and decrease mortality and hospital admission rates. Self-care is a complex and multi-faceted phenomenon that needs a comprehensive consideration of patients including their emotional situation, psychological characters, physical abilities, family support, living facilities, comorbidities (especially cognitive function) and their ability for learning. Insufficient knowledge about CHF, symptom recognition and ways of self-care along with hopelessness and psychological problems limited their abilities for an effective self-care. A supportive environment, motivation and adequate care programs using effective educational methods that build self-care skills, should be recommended to health care providers and families (Siabani, Leeder, & Davidson, 2013) There are several ways to prevent congestive heart failure. Diet management is a key factor in securing a future without  congestive heart failure. Maintaining a proper diet is crucial. Being overweight will act as a burden to the heart causing it to work harder to pump blood throughout the body. It is necessary to reduce sodium intake to avoid retaining fluids. The next step would be to increase potassium intake. Individuals who have congestive heart failure are usually prescribed diuretics to help excrete fluids causing a loss of potassium. Potassium can be found in green leafy vegetables and most fruits, particularly bananas, oranges, and dried fruit. Other factors for congestive heart failure prevention would involve exercise, not smoking and limited alcoho l consumption. (Haydock & Cowie, 2010). Various drugs are incorporated into treatment for congestive heart failure. The use of drugs is intended for reducing fluids within the body or to reduce blood pressure in the arteries of the body. Typical drugs used for treatment are Ace inhibitors, beta-blockers, digitalis, diuretics and vasodilators. Beta-blockers are intended to improve function for the left lower ventricular pumps. Diuretics are intended to assist in eliminating products that primarily contribute to congestion such as salt and water. Digitalis serves a very important role in strengthening the heart so it can serve as a more efficient, reliable, and effective pump. Treatment may involve surgery if the failure is a result of a poor functioning heart valve. Surgery could involve repair or replacement of a heart valve or in drastic cases, replacement of the heart itself (Gore, 2008). Lifestyle adjustment is necessary to effectively curtail the increasing prevalence of CHF. It is important should therefore optimize control of hypertension and diabetes (Gore, 2008). General treatment will also consist of exercise, weight loss, rest and specific attention to maintaining a suitable diet plan. The Practice Framework of a person that has congestive heart failure is greatly affected. Individuals must reduce the amount of exertion on their bodies to prevent over stimulating the heart. The limitations caused by the failure make performing even routine tasks more difficult. Some of the activities of daily living (ADL’s) that this individual might have issues with might be, getting dressed and undressed, toileting, personal hygiene, bathing and eating (Haydock & Cowie, 2010). To reduce hospitalization of the CHF patient, nurses must teach patients about illness, symptoms, diet, medication, and energy conservation. The more knowledge a nurse can give to a patient concerning CHF, the more  the patient can do to reduce hospitalizations. Gerontological nurses must provide high quality, research-based clinical care for these patients (Bushnell & Lopez, 1992). Conclusion: Congestive heart disease is a disease that grows fast in prevalence, causing a high rate of hospitalization every year. It is more prevalent in the elderly population. The symptoms of congestive heart failure mimic that of other diseases, but shortness of breath, fatigue, and dependent edema are common in patients. When taking care of patients with congestive heart failure, it is important to incorporate cultural and spiritual considerations. References Bushnell, F.K. & Lopez, E. (1992). Self care teaching: for congestive heart failure patients. Journal of Gerontological Nursing. 18(10): 27-32 Fundukian, L. J., (2011). Congestive heart failure. The Gale Encyclopedia of Medicine. 4th Ed. 2(4): 1142-1147. Detroit: Gale Cengage Learning Garcias, R.E., & Wright, V. R. (2010). Cardiology research and clinical developments: Congestive Heart Failure : Symptoms, Causes and Treatment. .† SciTech Book News Dec. 2010. Retrieved from http://go.galegroup.com/ps/i.do?id=GALE%7CA243379576&v=2.1&u=vic_liberty&it=r&p=AONE&sw=w&asid=3d10bca3f720fda0cb553c2548646db8 Gore, J.M. (2008). Ethnicity and incidence of congestive heart failure. Journal Watch.Cardiology. Proquest. Haydock, P.M. & Cowie M.R. (2010). Heart failure: classification and pathophysiology. Medicine. 38(9). pp 467- 472. Keys J. R. & Kotch, W. J. (2004). The adrenergic pathway and heart failure. PubMed, 59, 13-30. Retrieved from, http://www.ncbi.nlm.nih.gov/pubmed/14749495. Ramos, S., Prata, J., Goncalves, S.R., & Coelho, R. (2013). Congestive heart failure and quality of life. Applied Research in Quality of Life. Springer Netherlands, 9(4)4, pp. 803 – 817 Siabani, S., Leeder, S.R., & Davidson, P.M. (2013).Barriers and facilitators to self-care in chronic heart failure: a meta-synthesis of qualitative studies. SpringerPlus 2013, 2:320 doi:10.1186/2193-1801-2-320

Geography GCSE Welsh board Coursework

My main intension of my coursework is to investigate the effects of tourism, the effects of honey pot settlement and to examine the advantages and disadvantage of tourism in Bowness for instance the effects of tourism in the geographical landscape of Bowness. I am undertaking my coursework on the subject of Bowness in Windermere which is a sprawling tourist town on the showers of Windermere. This is about halfway along the 12 mile length of the lake between Waterhead of the North end, and the lakeside at the South end. The Lake District is the largest and the most popular National park in Britain. Over 14 million people visit the park each year most are attracted by the fine scenery, pretty villages and interesting history. It's has a pleasant specialist shop experience, with cobbled streets, ample tea rooms and pubs and with Beatrix Potter everywhere. A road ferry service runs across the lake from a point south of Bowness on the eastern side of the lake to Far Sawrey on the western side of the lake. For many years, power-boating and water-skiing have been popular activities on the lake. Windermere is the largest natural lake in England, and is entirely within in the Lake District National Park. It has been one of the country's most popular places for holidays and summer homes since 1847, when the Kendal and Windermere Railway built a branch line to it. Since ‘mere' means ‘lake', referring to Windermere as ‘Lake Windermere' is tautologous, though common. Windermere railway station offers train and bus connections to the surrounding areas, Manchester, Manchester Airport, and the West Coast Main Line, and is about a fifteen-minute walk from the lakefront. Both Stagecoach and the local council provide frequent connecting buses from Bowness Pier; Stagecoach's open-top double-decker buses travel through the centre of town and continue to Amble side and Grasmere, while the council's wheelchair-accessible minibuses run around the edge of town. The area has something to offer visitors at all times of the year, in all seasons. Even in the harsh winter months with its lightly snow-capped fells it offers spectacular scenery and numerous possibilities for the enthusiastic rambler. During the autumn the numerous changes of colour and the russet foliage add a note of romantic excitement in a season conventionally associated with death, decay and dreariness. Almost a third of the land is now owned by the National Trust, whose role it is â€Å"to preserve and enhance the natural beauty of the Lake District and to ensure that people can continue to enjoy the Lake District†. Geography Coursework History of Bowness St Martin church of Bowness was built in 1483. When the church was enlarged the area behind the church is the oldest part of Bowness a delightful web of narrow streets known as lowside. Which gives an idea of what the villages was like before the arrival of the railway. There's a little branch railway line, built in 1869 to serve the increasing number of tourists and connecting Ulverston to Lakeside on Windermere. This is the last remaining Furness Railway branch line. These days the line only runs from Haverthwaite, stopping at Newby Bridge and ending at Lakeside alongside Lake Windermere and most of the wide selection of diesel and steam trains connect with Windermere Lake Cruises. Bowness-on-Windermere became a civil parish in 1894 at the same time an urban district council was formed for the town. The UDC merged with Windermere UDC in 1905 and the two civil parishes merged in 1974 under the name of Windermere. The civil parish is governed by a town council. St. Martin's Church the parish church of Windermere, stands on a site which has been a religious foundation for over 1,000 years. The original structure was burnt down and rebuilt in 1484, and restored in 1870. The east window contains 15th century stained glass, depicting red and white stripes and three stars, the arms of John Washington who was an ancestor of George Washington, the first president of America. The geology and topography of the land defined the first use of the locality now known as Bowness. The valley's first visitors found rich resources and sheltered wintering grounds for cattle. Because of this, the area was inhabited as a ranch in the mid 1890's. Only the railroad track and twin bridges intruded upon the pastoral landscape until the real estate boom of 1911. Bowness-on-Windermere has more history. It began as a small fishing village and the older character of Bowness-on-Windermere can be seen in the characteristic narrow streets around St Martin's church. It was the rapid development of Windermere during the latter half of the 19th century that caused Bowness-on-Windermere and Windermere to become almost as one. Together they attract a disproportionate number of holiday makers. The railway changed Bowness completely changed because of the railway people started to visit Bowness and before long it became a huge tourist attraction. People from all over the world come to Bowness. Now Bowness is Britain's most popular tourist attraction. Geography Coursework Problems of tourism William Wordsworth lamented coming of railway and predicted that the influx of tourists would spoil the natural appeal of the lake. He was right. The railway opened the area up to all and sundry and the centuries old seclusion of the area rapidly came to an end. The 14 million annual visitors to Lake District's national park are bound to cause problems both for the 42000 local residents and the environment. Some of the worst problems are in the honey pot areas. These are places that attract tourist in a large number and are usually very busy and congested. Almost à ¯Ã‚ ¿Ã‚ ½500 million is spent by visitors to the Lake District every year. Over 42,000 local jobs depend on tourism, and it's now vital to the local economy. But some people fear too much tourism will destroy the natural beauty people visit the Lake District to see. A honey pot is a particularly popular attraction within a managed tourist area, such as a national park. Examples include Bowness-on-Windermere in the Lake District. Honey pot sites are often encouraged because they concentrate the damage caused by tourists on small sites, making conservation easier in other parts of the managed area. Attempts to manage tourism in the Lake District have become a struggle to reach agreement between a number of different interest groups, including the National Park Authority, environmentalists, the tourism industry and the charitable organization, the National Trust. Tourism is essential to the economy of the Lake District and therefore the standard of living and quality of life of the residents of the region. It is estimated that there are about 12 million visitors to the Lake District per year; of these 10 million are day visitors, whilst 2 million stay overnight or longer. It has been estimated that within Cumbria as a whole 42000 jobs (17% of the work force) are linked to tourism, whilst in the National Park up to 50% of the workforce is employed in tourist related activities. As well as creating direct employment tourism also supports local services, such as the bus and rail network, village shops and public houses. Without tourism many of these services would not survive and the local population would suffer as a whole, as has happened in many rural areas throughout the UK. Whilst tourism brings benefits to the Lake District and the people who live there it also creates problems. In Lake District one of the key problems is traffic congestion and the associated problems of pollution, noise, parking and so on. It is estimated that 89% of the visitors to the Lake District arrive by car and many of these pass through Lake District. The amount of traffic passing through Lake District has steadily increased as shown in Table 1. Problems of tourism Year 1981 1992 1997 1999 Average number of vehicles per day 9600 13500 14600 14700 Tourism brings other problems to the Lake District too; * damage to the natural environments * a lack of affordable housing for local people ( It is estimated that of the nearly 23000 dwellings in the Lake District 15% of the houses are either holiday homes or second homes and in a more recent survey thirty new developments it was found that 62% of the dwellings were occupied by retired people and 11% were holiday homes or second homes) which means many young people have to leave the region to find a place to live * a lack of well paid permanent employment (many jobs in the tourist trade are seasonal and low paid) * a lack of services and facilities for young people and families (schools, libraries and so on) * pollution Lake District has a permanent population of only 2838 people – but this more than doubles in the tourist season. Tourism appears to be essential to the economy and the lives of the people of Lake District – without tourism Lake District would be just another small rural town which was struggling to survive and meet the needs of its population Tourism is both a benefit to and a problem for the people of Lake District and this is what I am going to investigating. But perhaps the biggest problem in the area is the traffic which often chokes the narrow country roads. In the lake-side community of Lake District there has been a long-standing campaign for a bypass to relieve congestion. But environmentalists have blocked the move because of the damage they say it would cause. Other problems are as follows: Traffic Footpath erosion Second homes Conflict Environment damage Pollution All these problems which I have gathered using primary, Secondary and ICT sources are going to be investigated and are going to be backed up by my coursework. Illustration of Lake District This image show the physical structure of Lake District Geography Coursework Questions for Tourist The key questions that need to be researched and answered are: What is quality of life and what factors affect it? Why do people visit Lake District? What effect do these visitors have on Lake District? What are the opinions of local residents and businesses? What impact do visitors have on quality of life in Lake District? All my questions are selected on geographical ideas to interpret my evidence adequately. I asked the tourist and locals if they don't mind me asking a few question in order to aid my coursework most tourist and locals were happy to help. 1) I asked the tourist what they think about Lake District? â€Å"It is lively and got boats and people are nice here† â€Å"it is lovely very nice here† â€Å"I think bowness is a bit too crowded and too many people† For this question I was hoping to get lots of positive answers as I expected the majority of tourist made positive comments about Lake District. I asked the tourist this question to find out what are the attractions of Bowness. I decided to use a pie chart which will show my results in a clear format. Questions for Tourist 2) What do you think are the effects on the local people because of tourism? â€Å"Yes because of the traffic† â€Å"They are making money† â€Å"Yes too crowded and traffic† â€Å"They lost their home† For this question I was expecting the tourist to address the problems of tourism as I expected the majority of tourist addressed the issue. I asked the tourist this question to find out if they know about the effects of tourism. I decided to use a graph which will demonstrate my results in a clear layout. Questions for Tourist 3) How do you think the traffic affects the tourist coming here to Bowness? â€Å"Traffic really bad in mini bus† â€Å"No the traffic is not a problem† â€Å"The traffic is getting worse every time† For this question I was expecting the tourist to address the problems of traffic as I anticipated the preponderance of tourist addressed the issue. I asked the tourist this question to find out what are the attractions of Bowness I decided to use a bar chart which will display my results in a understandable design. Questions for Tourist 4) What age group are you in? 18 to 30, 30 to 40, 40 to 50, 50 to 60, 60 to 70 18 to 30, 30 to 40, 40 to 50, 50 to 60, 60 to 70 18 to 30, 30 to 40, 40 to 50, 50 to 60, 60 to 70 18 to 30, 30 to 40, 40 to 50, 50 to 60, 60 to 70 For this question I was expecting most of the tourist to be aged well over 40 as I anticipated the prevalence of tourist was well over 40 of age. I asked the tourist this question to find out what age group visits Bowness. I decided to use a doughnut chart which will display my results in an understandable design. Questions for Tourist 5) What category do you think your salary is in the end of each month? 1500 to 3000, 3000 to 5500, 5500 to 6500 to 7500 1500 to 3000, 3000 to 5500, 5500 to 6500 to 7500 1500 to 3000, 3000 to 5500, 5500 to 6500 to 7500 1500 to 3000, 3000 to 5500, 5500 to 6500 to 7500 For this question I was hoping most of the tourists to be earning 1500 to 3000 as I anticipated the prevalence of tourist are earning 1500 to 3000. I asked the tourist this question to find out what part of the society they come from. I decided not to use any method to display my results for this question because it seems so obvious. 6) What is your occupation? â€Å"Photographer retired† â€Å"Retired Coach Driver† â€Å"Caretaker in youth club† â€Å"Retired Nurse† For this question I had no idea about the occupation, I decided not to use any method to display my results for this question because it seems appropriate. Questions for Tourist 7) What would you change about Lake District? â€Å"Wouldn't change a thing† â€Å"Loves it as it is† â€Å"I would change the traffic† â€Å"I would change the number of people† â€Å"Change the number of Mini bus† For this question I was expecting the tourist to address the problems of traffic and pollution as I anticipated the preponderance of tourist addressed the issue. I asked the tourist this question to find out what problems tourists face in Bowness. I decided to use a pie chart which will display my results in a understandable design. Questions for Locals The key questions that need to be researched and answered are: What is quality of life and what factors affect it? Why do people visit Lake District? What effect do these visitors have on Lake District? What are the opinions of local residents and businesses? What impact do visitors have on quality of life in Lake District? All my questions are selected on geographical ideas to interpret my evidence adequately. I asked the tourist and locals if they don't mind me asking a few question in order to aid my coursework most tourist and locals were happy to help. 1) How long have you lived in Bowness? â€Å"4 years† â€Å"Born here† â€Å"3 years† â€Å"6 years†

HIPAA Compliance Policy - 654 Words

HIPAA Compliance Policy Purpose: To understand the responsibilities and define minimum security requirements of XYZ health care organization. All employees under the scope of this policy should abide by this policy. Scope: This policy applies to all the employees of XYZ health care who have remote access to the patient’s medical data. Control Matrix: Table 1 Risk Control Matrix Risk Significance of Risk Likelihood of Risk Control Measures/ Countermeasures 1 Brute Force Password Attack Medium Low Employee should maintain a strong password and keep changing it every 30 days. 2 Employee not familiar with wireless technology High Medium Employees should undergo trainings and knowledge transfer before using the system resources. 3 Multiple Access and Logon Entries Medium Low Employees should not log into two systems at the same time. 4 Unauthorized Access High Medium Rules are to be set properly so that employees can access information for which they have access or authority. 5 Privacy of data High Medium Proper training is to be given to employees in order to understand the importance of the data and how to protecting it. 6 Laptop stolen High Low Employees should report to the administration immediately and protect the system with strong password. 7 Accessing information through public internet High Low Employees should never use a public network in order to access the data. 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