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Friday, April 30, 2010

Food safety in pregnancy

http://www.nzfsa.govt.nz/consumers/low-immunity-child-pregnancy/pregnancy-food-safety/

In pregnancy, some foodborne infections may be more serious for you and they may also affect your unborn child. You need to take extra care with what you eat as well as how you handle, prepare, cook and store food.

The detailed information below is available in a free printed booklet Food safety in pregnancy. Ask your doctor, midwife or local Public Health Unit for a copy, or call us on 0800 693 721 (0800 NZFSA1).

What do we mean by ‘safe food’?

Safe food here means food that is free of pathogens (bacteria, viruses and parasites) that can cause illness in humans.

Why safe food is important in pregnancy

Food that is safe to eat is particularly important for pregnant women and their developing baby. While you are pregnant your levels of immunity are lower than usual, so you are more at risk of getting diseases carried by food. Your illness may also be worse than it would normally have been.

Rarely, certain pathogens or germs – such as those described below – can cause miscarriage, still or premature birth, and serious illness or even death to newborn babies. The good news is that by following our food safety advice you can help prevent most foodborne illness. Remember the 4Cs (clean, cook, cover, chill) and the wash+dry=clean hand wash rule (20 seconds wash + 20 seconds dry = clean hands).

4Cs (clean, cook, cover, chill) [NZ Foodsafe partnership]

20+20 hand washing (20 seconds wash + 20 seconds dry = clean hands) [NZ Foodsafe partnership].

Food safety guidelines

Food often carries small numbers of pathogens. These food safety guidelines are designed to reduce the risk of them growing on food, or spreading from one type of food to another.

Food safety when buying food

always check the ‘use by’ or ‘best before’ date – if it is past the ‘use by’ date, don’t buy it

check for damaged packaging – don’t buy dented tins, leaking cartons or bottles (eg, milk), ripped boxes or packets, broken or pierced seals (eg, yoghurt)

avoid swollen chilled food packages and cans

avoid products in loose vacuum packs (eg, bacon – the packaging should be tight around the food, with no air pocket)

avoid chilled products that are not cold to the touch

avoid frozen products that are not frozen solid

avoid hot foods that are not piping hot (eg, cooked chickens, unless you selected them from the cooker yourself).

Food safety when taking food home

at the supermarket, make sure raw meat and chicken are packed in separate bags from other foods to stop raw meat juices contaminating them

always take food straight home, especially chilled and frozen foods – never leave food in a hot car

for chilled and frozen foods, if you have more than a 30 minute trip home or if the weather is hot, use a chilly bag or bin with an ice pack

when you get home, immediately transfer chilled and frozen foods into the fridge or freezer.

Food safety when storing food

To keep food fresh, and to slow any growth of pathogens, store it in properly.

In the pantry

keep foods in airtight containers, or buy reusable bag clips (for closing packets)

keep foods covered

keep shelves clean – crumbs and spills attract pests

throw away any food that is mouldy, strangely coloured or infested with insects.

In the fridge

the temperature should be between 2ºC and 4ºC – check the temperature daily (you can buy a fridge thermometer from homeware or hardware stores)

don’t let meat and chicken juices drip on to other foods – put raw meat at the bottom of the fridge

cover all cooked foods (eg, with plastic wrap)

in New Zealand it is not essential to store eggs refrigerated as our poultry flocks do not carry some of the pathogens of concern in other countries, but NZFSA recommends it as a precautionary measure

meats should be marinated in a covered container in the fridge, not on the bench

leftover hot food should be covered and put in the fridge as soon as it has stopped steaming; hot food will cool more quickly if put into a shallow dish and then in the bottom of the fridge where it is colder

reheat leftovers until steaming hot (generally over 70ºC) and do not reheat more than once

throw out leftovers if they are older than two days.

In the freezer

freeze only fresh, good quality food – freezing will not always kill pathogens

freeze small amounts of food at a time – otherwise the middle might not get frozen fast enough to stop pathogens growing

the freezer temperature should be between –15ºC and –18ºC (you can buy a freezer thermometer from homeware or hardware stores)

raw food, cooked food and leftovers should be frozen once only.

Food safety when cooking

make sure meat and chicken are completely thawed (defrosted) before you cook them

never thaw frozen food on the bench – it can be thawed in the fridge overnight, or in the microwave (using the defrost or lowest power setting)

when defrosting foods such as mince and casserole in the microwave, break them up during thawing, and then immediately cook or reheat them

preheat the oven so that food cooks as quickly as possible

make sure food is thoroughly cooked and steamimg hot right through to the middle

minced meat, meatloaf and sausages should be cooked right through, and pork and poultry juices should run clear – use a meat thermometer to check temperatures. Undercooked meat and chicken should not be eaten!

eggs should be well cooked (firm yolk and white) – don’t eat raw or undercooked eggs

vegetables should be washed before cooking

eat cooked food while it is still hot – don’t leave it to stand at room temperature.

Food safety when reheating and microwaving food

Microwaves are quick and easy to use, but they don’t always cook or reheat food evenly and may leave cold spots in the food:

when cooking in the microwave, stir food frequently to avoid uneven cooking

cover food with a suitable lid or microwave-safe plastic wrap (but don’t let the wrap touch the food) – covered food cooks or thaws more evenly

always leave food for the recommended standing time after cooking or reheating in the microwave – this is necessary for the food to finish cooking

make sure that reheated and cooked food is steaming hot right through to the middle.

More about microwaving food safely

Hand hygiene

One of the most important things in preventing illness from pathogens is clean hands. Drying is just as important as washing. Remember wash+dry=clean: wash your hands thoroughly, using plenty of soap, for at least 20 seconds and then rinse them well. Dry them completely for another 20 seconds on a clean dry hand towel or paper towels. Keep hand towels for hands only, or use paper towels – don’t use the tea towel. Use a fresh hand towel daily (or change it more often if it is wet).

20+20 hand washing rule [NZ Foodsafe partnership]

Wash and dry your hands:

before and after preparing food

after handling raw meat and chicken (before you handle any other foods, or before you touch your face, mouth or eyes)

after going to the toilet, helping a child go to the toilet, or changing a baby’s nappy

after touching pets or farm animals

after blowing or touching your nose, sneezing into your hand, or touching your hair or your mouth while preparing food

after gardening

after handling rubbish.

Food safety in the kitchen

To avoid contaminating food with pathogens:

always use clean utensils (eg, knives, spoons) when preparing foods

use hot soapy water or a dishwasher to wash dishes; let dishes air dry rather than drying with a tea towel. If you have to use a tea towel make sure it is changed at least daily

use separate chopping boards and utensils when preparing raw foods that require cooking (especially meat and chicken), and cooked or ready-to-eat foods (eg, salad)

if you have just one chopping board and one knife, scrub them clean in hot soapy water and dry thoroughly between using with raw and then cooked/ready-to-eat foods

never put cooked food back onto the same plate it was on when raw food – always use a clean plate (eg, when barbecuing meat, chicken or fish)

use separate sponges or cloths for the dishes, the bench and the floor (tip: use different colours so you know which one is for which task)

use paper towels (instead of a cloth or sponge) and disinfectant (eg, bleach solution) to wipe up messy spills such as raw meat or chicken juices from the bench or floor

clean dish cloths or sponges by one of the following methods: washing them in hot water (at least 60ºC), soaking in bleach solution for at least one hour, microwaving the damp dish cloth for two to four minutes on high, or putting them through a full cycle in the dishwasher

avoid coughing or sneezing over food

don’t allow pets near food or on bench tops

cover food to protect it from flies and other insects

don’t prepare food for other people if you have an illness with diarrhoea or vomiting. You could contaminate the food and pass the illness on to others.

More about Food safety in the home

Foods that are eaten raw

Fruits and some vegetables are often eaten raw. To remove pathogens that may be on them it is important to thoroughly wash the produce. Do this just before eating it. Salads should also be prepared just before eating. Avoid all raw fish and seafood products.

Milk and milk products

Low-fat milk and milk products (eg, milk, cheese, yoghurt) are important sources of protein and calcium during pregnancy and eating them is encouraged. Pasteurisation of milk greatly reduces pathogen numbers. Most milk products available for sale in New Zealand are pasteurised, however some raw milk cheeses are permitted to be sold and these should not be eaten.

Even for pasteurised products, after opening there is potential for contamination by pathogens that may lead to illness. Listeria can grow at refrigeration temperature to numbers high enough to cause an infection. For this reason, milk products should be kept well covered to prevent contamination. They should ideally be consumed within two days of opening, or used in cooked foods after that two-day period. Soft, pasteurised cheeses (including brie, camembert, blue, ricotta, mozzarella and feta) should generally not be eaten uncooked while you are pregnant. However, if these products are purchased in the manufacturer’s original packaging, they can be eaten in small quantities immediately after opening. Do not reseal cheeses and eat them later, and do not eat if they have been repackaged in a deli or supermarket as they may become contaminated with pathogens.

Raw milk and raw milk products (such as unpasteurised milk drunk on a farm and cheeses made from unpasteurised milk) should be not be eaten.

More information about raw milk cheeses

Restaurants and takeaways

The principles of food safety are the same for takeaway foods as they are for foods prepared at home. Avoid eating high-risk restaurant, takeaway or pre-prepared foods such as sushi, salads and sandwiches. Steaming hot food and foods that have been well cooked immediately before eating can be considered safe, eg, deep fried and baked foods, hot pizza.

Gardening

Toxoplasma cysts and other pathogens may be present in garden soil. Even if you don’t own a cat, other people’s pets may use your garden. Pregnant women may be at risk of infection when gardening, either from handling soil or from breathing in dust from soil. If you choose to garden while pregnant, to reduce the risk you should:

always wear gloves while gardening

avoid touching your face, mouth or eyes while gardening

avoid stirring up or breathing in dust from the soil

wash your hands well after gardening (even if you have worn gloves) and before preparing and eating food.

Pets and farm animals

You can catch a number of illnesses from pets and farm animals by handling or playing with them and not washing your hands afterwards. Pets and farm animals can carry many pathogens that cause gastroenteritis:

birds – Campylobacter, Salmonella

cats – Toxoplasma, Campylobacter, Salmonella

dogs – Campylobacter, Salmonella

farm animals – Listeria, Campylobacter, Salmonella, Cryptosporidium.

To reduce the risk of contracting illnesses from pets or farm animals while you are pregnant you should:

wash and dry your hands well after handling pets or farm animals and before preparing or eating food

avoid cleaning up cat faeces or cat litter – get someone else to do it. If you must do it wear gloves, avoid breathing in dust from the cat litter and wash your hands afterwards

be careful if you live or work on a farm: wear gloves if you feed out silage (Listeria grows in it) and wash your hands afterwards; avoid handling stillborn animals; buy pasteurised milk (pregnant women should never drink unpasteurised milk or eat products made from it, such as yoghurt or cheese); don’t drink untreated water (boil it if it comes from a roof tank, well, bore, lake or stream); don’t use untreated water to prepare ready-to-eat food.

Overseas travel

Travel to overseas countries, particularly developing countries, carries a higher risk of foodborne illness for any traveller. Some countries have extremely high rates of illness carried by food, and water supplies may not be safe. Pregnant women should seek expert advice before travelling overseas from their doctor, a local public health unit or travel health clinic. While overseas take special care that food and water (including ice) are safe to eat and drink.

Important causes of foodborne illness in pregnancy

Listeriosis

Around 25 cases of listeriosis occur annually in New Zealand, of which about 20% are associated with pregnancy or newborn babies. Listeria infection generally results in mild flu-like symptoms including fever and muscle aches. In rare circumstances severe illness and premature labour may result, or the baby may be born with the infection and need treatment with antibiotics.

Listeria is a bacterium commonly found in the environment, including in animal faeces, on plants, in soil and in water. As a result, Listeria can occur on raw food or contaminate prepared food. Unlike most bacteria, Listeria can grow on food in the fridge.

You can take precautions to reduce the risk of infection. Eat only foods that are freshly prepared and well washed, wash and dry your hands well, and cook foods thoroughly to kill any Listeria present. Refrigerate leftovers immediately and do not keep them for more than two days. Reheat to steaming hot (over 70°C) before eating.

Avoid ready-to-eat foods from delicatessens and smorgasbords as they may have been prepared some time before being displayed, allowing time for Listeria to grow on them. Also avoid processed meats and soft cheeses unless they have been cooked until steaming hot. Only eat take-away food that is steaming hot and freshly prepared, such as pizza or fish and chips, and always choose from the hot options when dining out.

Pregnant women should eat fresh food that has been properly cooked.

More information about Listeria

Toxoplasmosis

Toxoplasma infection is uncommon in pregnancy as most people will be exposed to it early in life but pregnant women should take special care because the effects on their unborn baby can be devastating. For adults who do suffer an infection, symptoms include swollen glands, fever, nausea or headache. Infection during pregnancy can result in miscarriage or foetal death, or the baby may be born with brain and/or eye damage.

Foodborne Toxoplasma infection can occur through cross-contamination after gardening (where cats may have buried their faeces) or direct contact with cats. It can also come from eating undercooked meat (especially pig meat, but also sheep, deer, goat and chicken) or drinking raw or unpasteurised milk (particularly goat milk). Ready-to-eat cured meats such as salami and ham may also be a minor source of infection.

To reduce your risk, it is important to wash and dry your hands properly prior to preparing or eating food, after animal contact or gardening. Avoid unpasteurised milk and milk products as well as unwashed raw vegetables from gardens of households with cats (or where neighbours have cats), and ensure meat is thoroughly cooked.

More information about Toxoplasma [PDF: 22K, 3 pages]

Other illnesses carried by food

Campylobacter infection is very common in New Zealand, and can occur at any time during pregnancy. The symptoms of campylobacteriosis are usually flu-like, followed by diarrhoea, abdominal pain, nausea, and vomiting. Miscarriage and premature labour can occur on rare occasions.

Campylobacter is a bacterium commonly found in animals and the environment. Therefore, foodborne infection can result from eating undercooked meats (undercooked poultry meat has caused outbreaks), raw milk, and drinking non-chlorinated water.

As there are high numbers of Campylobacter bacteria on most raw meats, such as poultry, it is easy to contaminate your cooking environment. After handling raw meat you are likely to have these bacteria on your hands, which is why it is important to properly wash and dry your hands and chopping boards, utensils, benches and anything else that may have been contaminated.

To reduce your risk, wash your hands after animal contact, avoid raw milk and untreated water, fully cook meats (be especially careful on the BBQ), and follow our food safety guidelines – clean, cook, cover, chill.

Campylobacter, cooking and food

Salmonella infection occurs quite commonly in New Zealand with an estimated 75 cases in pregnant women annually. Infection with the Salmonella bacterium causes headache, abdominal pain, diarrhoea and vomiting. Salmonellosis during pregnancy can cause stillbirth on rare occasions.

Salmonella, cooking and food

Giardia is a parasite found throughout New Zealand, and can be contracted by drinking, swallowing or swimming in untreated water (from lakes, rivers, springs, wells, ponds). Food can be contaminated, especially raw food like fruit and vegetables. Wash raw foods with safe water. It is very important to wash your hands properly after changing the nappies of young children who have Giardia infection.

Symptoms of Giardia infection are diarrhoea, abdominal cramps and nausea, and the illness can last 4–6 weeks (occasionally longer).

Cryptosporidium is a parasite similar to Giardia, and is also common in New Zealand. It can be contracted in the same ways as Giardia. Cryptosporidium causes severe watery diarrhoea, and can be passed from an infected mother to her baby during the birth process.

Both Giardia and Cryptosporidium cause unpleasant illness, which may be severe. To reduce your risk, drink and swim in safe water, use treated water to wash ready-to-eat food, wash your hands properly and follow our food safety guidelines.

Other healthy eating tips

Pregnancy is a time when nutritional requirements change to meet the needs of both mother and child. A full discussion on the nutritional needs of pregnant women is contained in the Ministry of Health’s Eating for Healthy Pregnant Women (code HE1805) and Your Pregnancy (code HE1420). See www.healthed.govt.nz
The following are some of the key safety-related nutritional issues.

Folic acid

Folate is a B vitamin that is needed for the formation of blood cells and nerve tissue. It is found naturally in food, especially green vegetables and grains. Folic acid is the synthetic form of folate which may be added to manufactured foods or taken as a vitamin supplement.

Requirements for folate and folic acid increase during pregnancy and breastfeeding. Women who don’t get enough folate and folic acid before and during pregnancy have a higher risk of their baby developing abnormalities known as neural tube defects (NTDs). The neural tube is the nerve centre of the foetus and grows into the spinal cord. The most common NTDs are spina bifida and anencephaly.

Women capable of or planning a pregnancy should take at least 400 micrograms (mcg) of folic acid daily as well as consuming foods rich in folate and folic acid fortified foods. The Ministry of Health advises women to take a registered 800 mcg folic acid supplement daily for at least four weeks prior to conception and for the first 12 weeks of pregnancy. These registered supplements are available from your local pharmacy or on prescription from your doctor or midwife.

The Ministry of Health recommend taking folic acid supplements that are registered medicines in New Zealand. As there is no 400 mcg folic acid vitamin supplement currently available as a registered medicine, the Ministry of Health advises women to take a registered 800 mcg folic acid supplement daily. These are available from your local pharmacy.

Women who have a family history of neural tube defects may be required to take an even higher dose of folic acid. Check with your health professional to find out what is best for you.

More about the importance of folic acid when you are pregnant

Iodine

Iodine occurs naturally in most foods, but usually in small amounts. Iodine is an essential nutrient for growth and development, including normal brain development. It is vital that unborn babies, infants and young children have enough iodine.

Requirements for iodine increase during pregnancy and breastfeeding so it is important to choose foods that are not only rich in iodine, but are also safe for you and your baby.

From September 2009 most bread (except organic) will be legally required to contain iodine. Although adding iodine to bread will increase the amount of iodine pregnant and breastfeeding women will get, it is likely that most women still won’t get enough.

It is recommended that you regularly choose foods that are naturally good sources of iodine such as low-fat milk products, eggs, seafood and fish. Foods containing seaweed such as sushi and sea meal (eg, sea meal custard) are also good sources of iodine. New Zealanders are generally recommended to reduce salt intakes, including salt from processed food and salt added at the table. However, if you do use salt, choose an iodised brand.

Iodine supplements currently available in New Zealand (including seaweed and kelp supplements) are not recommended for pregnant and breastfeeding women. The iodine content in some of these products is extremely variable and there are risks from having too much iodine. If you are concerned about your iodine intake, discuss with your health professional what is best for you and your baby.

More about the importance of iodine

Caffeine

Drinks containing caffeine, including coffee, teas and colas, should be limited during pregnancy. You may want to consider giving up caffeine altogether. Have no more than six cups of tea or instant coffee, or three espresso-style coffees daily. Energy drinks and ‘smart drinks’ are not recommended as they may contain high levels of caffeine and other ingredients not recommended for pregnant and breastfeeding women.

Herbal preparations and teas

Be cautious about drinking herbal preparations and teas during pregnancy. Discuss with your health professional what options are safe for you and your baby.

Alcohol

There is no known safe level of alcohol consumption for pregnant women. Alcohol crosses the placenta so whatever a mother consumes, the foetus will also receive. Excessive alcohol consumption is associated with Foetal Alcohol Syndrome (FAS) where the infant may have varying effects including intellectual impairment. Even at lower levels of alcohol consumption, infants may show behavioural and learning difficulties that have been linked to alcohol consumption.

It is therefore advisable to avoid alcohol during pregnancy or when contemplating pregnancy.

Mercury in fish

Eating fish during pregnancy is recommended as part of a well-balanced diet because it is a nutritious food for you and your growing baby. Fish is low in saturated fat and an excellent source of protein, essential omega-3 fatty acids, iodine and some vitamins. Omega-3 is important for the development of the central nervous system in babies, before and after they are born, and fish is a recommended food for all people.

For the many commonly eaten fish species in New Zealand there is little concern about mercury levels and these can be eaten freely. Mercury occurs naturally in the environment and accumulates in the aquatic food chain as methyl-mercury so all fish contain some methyl-mercury.

To ensure your exposure to mercury is within safe limits, it is recommended that women who are pregnant or considering pregnancy limit their consumption of fish containing higher levels of mercury and eat a variety of fish where possible. In the information below, a portion size when mentioned is about is 150g.

Fish that are likely to contain the lowest levels of mercury include: farmed salmon, skipjack tuna, tarakihi, blue cod, hoki, john dory, monkfish, warehou, whitebait, flat fish (eg flounder), as well as mussels and pacific oysters. Small, canned fish such as sardines and mixed fish (eg, battered fish and fish fingers) can also be eaten without restriction.

Species to be mindful of during pregnancy are some of the longer-lived and larger fish, and consumption of these should be limited to three to four portions per week. These include albacore tuna, blue mackerel, gemfish, orange roughy, ling, skate, kahawai, hapuka (groper), bluenose, ghost sharks, bass, oreo dories, red cod, ribaldo, rig (spotted dogfish or lemonfish) and rock lobster.

There are a small number of species where it would be wise to eat no more than one serving per week or fortnight during pregnancy, and not at all if consuming other species of fish. These include dogfish (apart from rig), school shark, swordfish, marlin, cardinal fish and fish such as trout caught in geothermal regions (mercury is in volcanic emissions).

More about mercury in fish and recommended servings of fish species when you are pregnant

Cadmium in shellfish

Bluff oysters and Queen scallops have high cadmium concentrations and it is recommended that you minimise your intake (regardless of how they are prepared) during pregnancy.

Handy guide to food safety in pregnancy

Keep as a handy reference on the fridge, when shopping or dining out to ensure you have a safe pregnancy.

Food type

What to do

Breads and cereals

Breads

all types

OK to eat

Cakes, slices, muffins etc

plain

OK to eat

with cream or custard

Don’t eat (unless cream is newly opened and custard is home-made and fresh)

Cereals

breakfast cereals, rice, pasta etc

OK to eat – refer to milk and milk products below

Milk and milk products

Cheese

soft unpasteurised (raw milk) cheese (eg, Roquefort)

Don’t eat

soft pasteurised cheese (brie, camembert, blue, ricotta, mozzarella, feta etc)

Generally do not eat unless heated until piping hot *

hard yellow cheese (cheddar, parmesan etc)

Store in fridge

cottage cheese, cream cheese etc

Buy in sealed packs; eat cold or cooked within two days of opening pack

Butter

all types

Store in fridge

Cream

fresh, unwhipped or whipped, sour cream etc

Buy in sealed packs; eat within two days of opening pack

Custard

ready-made chilled (packaged)

Eat within two days of opening

home-made

Eat while hot immediately after cooking; don’t eat cold leftovers

Milk

pasteurised

Ideally drink or use within two days of opening

unpasteurised (raw)

Don’t drink or use

Ice cream

packaged

Choose single serve pots, tubs or slices

soft serve

Don’t eat

Yoghurt

all types

Check use-by date; ideally eat within two days of opening

Eggs

Raw eggs

in egg flips, eggnog, smoothies, home-made mayonnaise and dressings, home-made ice cream, mousse and tiramisu etc

Don’t eat

Cooked eggs

well cooked (fried, scrambled, baked, poached, etc)

Cook well (firm yolks, firm scrambled eggs)

Meat and poultry

Cooked meats

beef, pork, chicken, mince, sausages etc

Cook thoroughly until piping hot throughout, and until juices run clear; eat while hot; never eat rare or undercooked meats; don’t eat cold leftovers

Processed meats

ham, salami, luncheon, pâté, pastrami, biltong, or jerky (dried meat) etc

Generally do not eat unless heated until piping hot *

Cold cooked poultry

any cold pre-cooked poultry (eg, chicken, turkey)

Don’t eat unless heated until piping hot

Raw meat

any raw meat, raw chicken or other poultry, beef, pork etc

Don’t eat; don’t taste, or touch face, mouth or eyes while preparing; wash and dry hands well after touching raw meats

Seafood

Raw fish

any raw fish (including marinated raw fish)

Don’t eat

Raw shellfish

any raw shellfish (including marinated raw mussels)

Don’t eat

Smoked fish, shellfish and crustacean

chilled, pre-cooked fish, mussels, oysters, salmon, crayfish, prawns etc

Don’t eat unless heated until piping hot

Cooked fish, shellfish and crustacean

freshly cooked fish, mussels, oysters, crayfish, scallops etc

Cook thoroughly until piping hot throughout; eat while hot

Vegetables, salads and fruit

Fruit

all fresh fruits

Wash and dry well just before eating

Vegetables

all fresh vegetables

Wash and dry well just before eating raw, or wash before cooking

frozen vegetables

Cook; don’t eat uncooked frozen vegetables

Salads

ready-made salads and coleslaws from delis, salad bars etc

Don’t eat

home-made

Wash salad ingredients well before using

Herbs

fresh home-grown and store bought

Wash well before using

dried

Cook thoroughly

Miscellaneous

Leftovers

cooked foods

Store uneaten leftovers covered in fridge; eat within two days; never eat cold leftovers – always reheat until piping hot (over 70°C)

Tinned foods

tinned fruit, vegetables, fish, seafood, meat, sauces etc

Eat immediately after opening tin (hot or cold); store uneaten leftovers covered in fridge and eat within two days. Remove from can for storage

Sauces and dressings

salad dressings (oil and vinegar), bought mayonnaise, tomato sauce etc

Store in fridge once opened, check maximum storage time

Sushi

store bought (all types – even without raw seafood)

Don’t eat

home-made

Use freshly cooked rice, and don’t use raw or cold cooked meat or seafood; eat immediately; don’t eat leftovers

Stuffing

stuffing from chicken or turkey

Don’t eat unless stuffing is cooked separately (in a dish); eat hot; store uneaten leftovers in fridge and eat hot within two days

Hummus

store-bought or home-made

Don’t eat

*If these products are purchased in the manufacturer’s original packaging small quantities can be eaten immediately after opening. Do not reseal and eat later, and do not eat if they have been repackaged in a deli or supermarket as they may become contaminated with pathogens during this process.

THE PREGNANCY FOOD GUIDE

http://www.pregnancyfoodguide.org/images/pregnancy_food_guide.pdf

What To Eat During Your Pregnancy

http://ezinearticles.com/?What-To-Eat-During-Your-Pregnancy&id=866337

First Trimester: The first three months of your pregnancy

Weeks 1-4

Folic acid is essential during this period, and ideally should be taken for six weeks before you conceive. In the first 28 days of pregnancy, there's lots of cell division in the embryo, and neural tubes are developing.

Folic acid reduces the risks of spina bifida, birth defects, miscarriage and low birth weight. You should take a supplement of at least 400mcg daily throughout your pregnancy, as it's difficult to get enough from food alone.

During these early days, the inner-layer cells of the embryo will become your baby, and the outer layer of cells the placenta. Research shows that the growth of the placenta is directly linked with the mum's food intake and that a healthy, well-nourished woman builds a better placenta.

The placenta is the nutrition highway between you and your baby, so ensure your diet is packed with nutrient-dense fresh and unprocessed foods.

If you haven't already, now is the time to cut out all the nutrient-zappers such as alcohol, cigarettes and caffeine, as toxins from these can pass through the placenta to your baby.

Weeks 5-12

During the second month, you may start to experience nausea and food aversions or cravings. Trust your instinct on this, as you may just be hankering after what your baby needs, eg, steak=iron, or milk=calcium.

You can help reduce the effects of morning sickness by increasing your levels of zinc and vitamin B6. Sip ginger tea and snack on nuts and seeds.

Feeling exhausted is a major complaint during this time, and it's not surprising with all that's going on inside you. To ease this feeling of fatigue, choose energy-givers rather than energy-sappers.

Switch from all white refined foods such as bread, rice and pasta to wholemeal bread, brown rice and wholemeal pasta, as these help to balance blood-sugar levels. Avoid sugary foods and caffeinated drinks, and try to eat every four hours. Drink plenty of fluids, including water and fresh vegetable juices. And take that afternoon nap when you can.

Second trimester: The second three months of your pregnancy

Weeks 13-16

While the first 12 weeks focus mainly on developing organs, skeleton, tissue and cells, this trimester concentrates on your baby's rapid growth. Aim to eat around 300 extra calories each day to support this - that's the equivalent of an apple, a piece of wholemeal toast and a glass of milk. You may be averaging a weight gain of around 1/2-1lb a week.

You can suffer from constipation at any time in pregnancy, as hormones slow down the movement of food in your intestines, to allow more absorption from the food. But as your baby starts to grow during this trimester, she may begin to put pressure on your intestines.

To help move things along, eat plenty of fibrous foods, drink at least eight glasses of water a day, take up gentle exercise such as swimming or walking and avoid caffeine as it dehydrates the body further. If all this fails, soak a dessert spoonful of linseeds in water overnight and drink the liquid every morning until the symptoms have passed.

Weeks 16-24

Your baby's senses are developing now. Hearing develops at 16 weeks, although the ear isn't fully formed until the 24th week, and towards the end of this trimester her eyes begin to open.

Vitamin A plays an important role in visual and hearing development. Vegetable sources of vitamin A, called betacarotene, are the safest. So add carrots and yellow peppers to the menu.

Weeks 24-28

Towards the end of the second trimester, your enlarged uterus takes up space usually occupied by the digestive system, and may push against your stomach. This could be why almost 80% of pregnant women suffer heartburn.

Normally, foods are mixed with gastric acids in the stomach and move on down to the intestines. With the pressure of the baby, however, this acidic mix can move up the oesophagus instead, causing a burning feeling in your chest.

To avoid further aggravation, eat smaller, more frequent meals, avoid spicy or fatty foods, carbonated drinks, processed meats, alcohol and coffee.

Try to eat at least three hours before bedtime and chew slowly. It's a good idea to sleep with your head raised, as this helps prevent the digested contents of your stomach from moving up towards the oesophagus.

Third trimester: The last three months of your pregnancy

Weeks 29-34

You're now transferring even more essential fatty acids for your baby's developing brain, more calcium for bones and teeth and more iron to protect against anaemia after birth.

It's important during this trimester to continue to eat a highly nutritious diet; otherwise the body transfers all its stores to the baby, leaving you feeling exhausted. Put oily fish, nuts, seeds, lean red meat, pulses, dark green leafy veg and natural yogurt on the menu.

During this time your baby will double in size and will demand more calories from you. So you should continue to eat around 300 extra calories each day. A steady weight gain is essential, as too little may mean that your baby risks being premature. But gaining too much weight is not advisable, either. This is the time when fat cells are laid down and too much excess fat from you could mean that your baby may battle with weight problems for life.

Beware of hidden fats in cakes and biscuits, and remember that sugar turns to fat. So when you snack, it's best to opt for fresh fruit, nuts, seeds and healthy cereal bars.

Weeks 35-40

Giving birth has been compared to running a marathon in terms of energy requirements. Prepare two weeks before you're due by stocking up on complex carbohydrates such as whole grains, vegetables and wholemeal breads, as these are the body's main energy source.

By the end of this trimester your baby weighs about 7lb 5oz, but you may have gained around 28lb. Don't worry! Most of it is fluid, increased blood volume and placenta. Excess fat is needed in preparation for breastfeeding - the best start your baby can have in life.

Note: Check with your GP or midwife before you make any changes to your diet or exercise programmes. Any supplements should be monitored and supervised by your GP, midwife or a qualified nutritional therapist.

What To Eat During Your Pregnancy

  • First Trimester: The first three months of your pregnancy

Weeks 1-4

Folic acid is essential during this period, and ideally should be taken for six weeks before you conceive. In the first 28 days of pregnancy, there's lots of cell division in the embryo, and neural tubes are developing.

Folic acid reduces the risks of spina bifida, birth defects, miscarriage and low birth weight. You should take a supplement of at least 400mcg daily throughout your pregnancy, as it's difficult to get enough from food alone.

During these early days, the inner-layer cells of the embryo will become your baby, and the outer layer of cells the placenta. Research shows that the growth of the placenta is directly linked with the mum's food intake and that a healthy, well-nourished woman builds a better placenta.

The placenta is the nutrition highway between you and your baby, so ensure your diet is packed with nutrient-dense fresh and unprocessed foods.

If you haven't already, now is the time to cut out all the nutrient-zappers such as alcohol, cigarettes and caffeine, as toxins from these can pass through the placenta to your baby.

Weeks 5-12

During the second month, you may start to experience nausea and food aversions or cravings. Trust your instinct on this, as you may just be hankering after what your baby needs, eg, steak=iron, or milk=calcium.

You can help reduce the effects of morning sickness by increasing your levels of zinc and vitamin B6. Sip ginger tea and snack on nuts and seeds.

Feeling exhausted is a major complaint during this time, and it's not surprising with all that's going on inside you. To ease this feeling of fatigue, choose energy-givers rather than energy-sappers.

Switch from all white refined foods such as bread, rice and pasta to wholemeal bread, brown rice and wholemeal pasta, as these help to balance blood-sugar levels. Avoid sugary foods and caffeinated drinks, and try to eat every four hours. Drink plenty of fluids, including water and fresh vegetable juices. And take that afternoon nap when you can.

Second trimester: The second three months of your pregnancy

Weeks 13-16

While the first 12 weeks focus mainly on developing organs, skeleton, tissue and cells, this trimester concentrates on your baby's rapid growth. Aim to eat around 300 extra calories each day to support this - that's the equivalent of an apple, a piece of wholemeal toast and a glass of milk. You may be averaging a weight gain of around 1/2-1lb a week.

You can suffer from constipation at any time in pregnancy, as hormones slow down the movement of food in your intestines, to allow more absorption from the food. But as your baby starts to grow during this trimester, she may begin to put pressure on your intestines.

To help move things along, eat plenty of fibrous foods, drink at least eight glasses of water a day, take up gentle exercise such as swimming or walking and avoid caffeine as it dehydrates the body further. If all this fails, soak a dessert spoonful of linseeds in water overnight and drink the liquid every morning until the symptoms have passed.

Weeks 16-24

Your baby's senses are developing now. Hearing develops at 16 weeks, although the ear isn't fully formed until the 24th week, and towards the end of this trimester her eyes begin to open.

Vitamin A plays an important role in visual and hearing development. Vegetable sources of vitamin A, called betacarotene, are the safest. So add carrots and yellow peppers to the menu.

Weeks 24-28

Towards the end of the second trimester, your enlarged uterus takes up space usually occupied by the digestive system, and may push against your stomach. This could be why almost 80% of pregnant women suffer heartburn.

Normally, foods are mixed with gastric acids in the stomach and move on down to the intestines. With the pressure of the baby, however, this acidic mix can move up the oesophagus instead, causing a burning feeling in your chest.

To avoid further aggravation, eat smaller, more frequent meals, avoid spicy or fatty foods, carbonated drinks, processed meats, alcohol and coffee.

Try to eat at least three hours before bedtime and chew slowly. It's a good idea to sleep with your head raised, as this helps prevent the digested contents of your stomach from moving up towards the oesophagus.

Third trimester: The last three months of your pregnancy

Weeks 29-34

You're now transferring even more essential fatty acids for your baby's developing brain, more calcium for bones and teeth and more iron to protect against anaemia after birth.

It's important during this trimester to continue to eat a highly nutritious diet; otherwise the body transfers all its stores to the baby, leaving you feeling exhausted. Put oily fish, nuts, seeds, lean red meat, pulses, dark green leafy veg and natural yogurt on the menu.

During this time your baby will double in size and will demand more calories from you. So you should continue to eat around 300 extra calories each day. A steady weight gain is essential, as too little may mean that your baby risks being premature. But gaining too much weight is not advisable, either. This is the time when fat cells are laid down and too much excess fat from you could mean that your baby may battle with weight problems for life.

Beware of hidden fats in cakes and biscuits, and remember that sugar turns to fat. So when you snack, it's best to opt for fresh fruit, nuts, seeds and healthy cereal bars.

Weeks 35-40

Giving birth has been compared to running a marathon in terms of energy requirements. Prepare two weeks before you're due by stocking up on complex carbohydrates such as whole grains, vegetables and wholemeal breads, as these are the body's main energy source.

By the end of this trimester your baby weighs about 7lb 5oz, but you may have gained around 28lb. Don't worry! Most of it is fluid, increased blood volume and placenta. Excess fat is needed in preparation for breastfeeding - the best start your baby can have in life.

Note: Check with your GP or midwife before you make any changes to your diet or exercise programmes. Any supplements should be monitored and supervised by your GP, midwife or a qualified nutritional therapist.

Monday, April 26, 2010

Why black pepper is good for you

Black pepper is very popular in cuisines all over the world. In fact, there was a time when it was so important that it even came to be used in place of money when it came to marketplace trade.

According to ayurveda, black pepper's biggest characteristic is that it is anti-kapha. Kapha is an element made up of earth and water.

When this element is found in the body in excess, it gives rise to conditions like sinusitis, arthritis, pneumonia, obesity, diabetes and high cholesterol. Black pepper liquifies kapha in the body, and moves it into channels from where it can be flushed out.

Black pepper is useful in these ways: Because it makes frozen kapha in the joints liquid and flushes it out, black pepper is anti-arthritic and anti-gout. It also improves circulation in the joints at the micro level.

This is most effective in winter. Peppercorn oil can also be applied for local relief Since pepper is anti-spasmodic in nature, it helps release gas from the intestines.

Pepper increases sweating and urination. Since sweat and urination are ways for the body to flush out toxins from the body, this is an important property of pepper.

People who do not sweat enough are more prone to kapha disorders than others. It helps the body to dissolve oxidants that damage the body tissues, so it is anti-oxidant.

Arthritis and cholesterol plaques result from oxidants. The reason pepper is used in so many cuisines is that, apart from providing flavour, it is anti-bacterial and therefore anti-infective in nature.

Pepper is good for digestion as it improves the secretion of hydrochloric acid. Hydrochloric acid is important because it breaks down foods.

Pepper stimulates the entire digestive system, from the salivary glands to the glands in the stomach.

The power of turmeric

Adding a pinch of turmeric in your meal can delay the liver damage that eventually causes cirrhosis, says a new research.

The researchers found that curcumin, one of the principal components of the Indian spice turmeric, seems to delay the liver damage that eventually causes cirrhosis.

Curcumin, which gives turmeric its bright yellow pigment, has long been used in Indian Ayurvedic medicine to treat a wide range of gastrointestinal disorders.

It was earlier shown that it has anti-inflammatory and antioxidant properties, which may be helpful in combating disease.

The research team wanted to find out if curcumin could delay the damage caused by progressive inflammatory conditions of the liver, including primary sclerosing cholangitis and primary biliary cirrhosis.

Both the conditions, which can be sparked by genetic faults or autoimmune disease, cause the liver''s plumbing system of bile ducts to become inflamed, scarred, and blocked.

This leads to extensive tissue damage and irreversible and ultimately fatal liver cirrhosis.

The research team examined tissue and blood samples from mice with chronic liver inflammation before and after adding curcumin to their diet for a period of four and a period of eight weeks.

The results were compared with the equivalent samples from mice with the same condition, but not fed curcumin.

The findings showed that the curcumin diet significantly reduced bile duct blockage and curbed liver cell (hepatocyte) damage and scarring (fibrosis) by interfering with several chemical signalling pathways involved in the inflammatory process.

The effects were clear at both four and eight weeks. However, no such effects were seen in mice fed a normal diet.

The authors pointed out that current treatment for inflammatory liver disease involves ursodeoxycholic acid, but its long term effects remain unclear.

The other alternative is a liver transplant.

They said that curcumin is a natural product, which seems to target several different parts of the inflammatory process, and as such, may therefore offer a very promising treatment in the future.

The study has been published in the journal Gut.

Here are 10 tips that will help you get started on the path towards healthy living

Here are 10 tips that will help you get started on the path towards healthy living:

. Raw vegetable juices like carrot juices, amla juices, and mixed vegetable juices are full of known and unknown anti-oxidants & enzymes that help to remove toxins and digest food better. Drink a glass of vegetable juice everyday.


. Consume adequate protein to enable tissue repair & prevent loss of muscle mass and bone degeneration.


. Consume anti-oxidants like beta-carotene, vitamin C, Vitamin E, and selenium by including fruits & vegetables, nuts and seeds in your daily diet.


. Get in shape: It is an important aspect of looking good and staying healthy.


. Fast for any one day in a week (on raw vegetable juices) or three consecutive days (on raw fruits and vegetable) in a month. This is a good way to detoxify and an important tool in treating obesity.

People who lead a life of excesses and those who eat excessively at night need to detoxify twice a year. People with toxicity symptoms like headaches, digestive problems and allergies will benefit greatly by detoxification.


. MUFA rich oil like olive, rice bran, til, groundnut oil, mustard oil etc. are beneficial for reducing cholesterol and attaining good heart health.


. Reduce the process of aging by cutting back on alcohol, tobacco, cigarettes, sugar, processed foods, refined foods and fried foods.


. Control stress. It is said that your mind is the biggest contributor to disease. Stress suppresses the immune system and makes you age faster.


. Try to develop a loving relationship with your family, friends, spouse, and pets. Love makes life meaningful. It has healing energy. It is a powerful stimulant to immune system.


. Make sure you exercise at least five times a week for 30 to 40 minutes. Sweating releases stored toxins and aerobic exercises help improve digestion & metabolism.



By choosing to eat sensibly and by making a few lifestyle changes you can stay healthy and prevent many forms of illness. People usually associate health in terms of losing weight and counting calories. But health is much more than just body weight. Yet achieving ideal body weight is the first step towards achieving good health

Thursday, April 8, 2010

CRPF Jawan's last word


'Take care of my kids I am going to die' her father CRPF Jawan Ali Hassan said in his last call to his wife as Naxal bullets rained on him.

CRPF man called wife as firing was going on. "I am in a Chhattisgarh forest, surrounded by Naxalites. They are firing at us from all sides. I'm not sure I'll survive." These were the words that Tasmin Khatun got to hear when she picked up the telephone at 8 am on Tuesday.

Both keep 'vow' to die for the nation

When a groom came home in a bodybag

The voice at the other end was that of her 38-year-old husband, Ali Hassan. Even before Tasmin could grasp the gravity of the situation, Hassan disconnected his mobile phone, his brother-in-law Rashid recalled.

Hassan called her up again at 5 pm the same day and said: "I have sustained two bullet injuries. My colleagues are taking me to hospital. Please don't worry about me. I want you to ensure that the children are happy. You must raise them well." Head constable Hassan was among the 120 Central Reserve Police Force (CRPF) personnel of the 62nd battalion who were ambushed by over 1,000 Naxalites in Chhattisgarh's Dantewada area on Tuesday. More than 80 securitymen were killed in the attack. Hassan, too, succumbed to his bullet wounds.

"I knew that something was grossly wrong. But I didn't realise that his life was ebbing away even as he was talking to me about our three daughters," a dazed Tasmin recounted. She is still in a state of shock. A resident of Khatauli village in Shahpur block of Muzaffarnagar, Hassan was in abject poverty when he got a CRPF constable's job in 1991. After being posted at Rampur initially, he was promoted as head constable and sent to Chhattisgarh for anti-Naxalite combat operations.

Hassan's elder brother Taj Mohammad, who left for New Delhi on Wednesday morning to receive his body, said: "He was a brave man. The villagers knew him as a troubleshooter. Whenever anyone had a problem, he was the first man to come forward and help."

"Hassan was the sole breadwinner. We are left with a small piece of land to feed a family of 12 persons, including his family," Sulaiman, the slain head constable's father, said. "I am waiting for the nation to reciprocate," he added. "Even local kids knew that the area where the jawans had been asked to move was full of landmines.

The government put our children in danger, well aware that their survival was at risk," he said. Head constable Shyamlal (35) of Burjiwala village in Rampur also fell prey to Maoists in the Tuesday attack. Shyamlal had joined the CRPF 10 years ago and he, too, was the only earning member of the family. He was promoted four years back. "He called my mother at 2 am on Tuesday and informed her that he as well as many of his colleagues were trapped in the forest.

He said the Naxalites were equipped with more sophisticated arms," Naresh, the 11-year-old son of Shyamlal, said. Shyamlal's wife Veer Vati has been unconscious ever since she got the news of her husband's death. Besides Naresh, they have three younger daughters. They don't have any means to survive.

Naresh may be too young to come to grips with reality, but he said: "I am proud of my father and would like to join the CRPF and fight with the Naxalites." Uttar Pradesh's additional director general of police Brijlal said 42 jawans from UP and seven from Uttarakhand were killed in the Naxalite attack. "All of them were from poor backgrounds. They were from the 62nd battalion of the CRPF and were deployed in Chhattisgarh last year. Their bodies were brought Lucknow on Wednesday," he said.

Reproduced From Mail Today. Copyright 2010. MTNPL. All rights reserved.


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This is so bad, Govt. is responsible for the death of our jawans .
More hard part is 'kids who lost their dad' / 'wife who lost their husbands' , It will be so hard for them to come out of this saddest part,

It is time for change in attitude,,
Do these ministers are capable of handling their duties,, do they really understand their department of work??

•P Chidambaram •A.Raja •Ambika Soni •Dayanidhi Maran •A.K. Antony •Pranab Mukherjee •S.Jaipal Reddy •S.M. Krishna •Sharad Pawar •Kapil Sibal •Sushilkumar Shinde •Virbhadra Singh •Vayalar Ravi •Vilasrao Deshmukh •Murli Deora •Ghulam Nabi Azad •Kamal Nath

S M Krishna Minister of External Affairs [Is he capable of handling this post] Big NO
Pranab Mukherjee Minister of Finance
Kapil Sibal Minister of Human Resource Development
Sharad Pawar Minister of Agriculture and Minister of Consumer Affairs, Food and Public Distribution
Mamata Banerjee Minister of Railways
A K Antony Minister of Defence
P. Chidambaram Minister of Home Affairs
Sushilkumar Shinde Minister of Power
Subodh Kant Sahay Minister of Food Processing Industries
M. K. Azhagiri Minister of Chemicals and Fertilizers
S. Jaipal Reddy Minister of Urban Development
Virbhadra Singh Minister of Steel
B K Handique Minister of Mines and Minister of Development of North Eastern Region
Kantilal Bhuria Minister of Tribal Affairs
Dayanidhi Maran Minister of Textiles
Vayalar Ravi Minister of Overseas Indian Affairs
Anand Sharma Minister of Commerce and Industry
Veerappa Moily Minister of Law and Justice
Vilasrao Deshmukh Minister of Heavy Industries and Public Enterprises
A. Raja Minister of Communications and Information Technology
C. P. Joshi Minister of Panchayati Raj and Minister of Rural Development Mukul Wasnik Minister of Social Justice and Empowerment
Murli Deora Minister of Petroleum and Natural Gas
Kumari Selja Minister of Tourism and Minister of Housing and Urban Poverty
Alleviation Ghulam Nabi Azad Minister of Health and Family Welfare
Kapil Sibal Minister of Science and Technology and Minister of Earth Sciences
Kamal Nath Ministry of Road Transport and Highways
G K Vasan Ministry of Shipping
Farooq Abdullah Ministry of New and Renewable Energy

Ministers must be specialist in particular field,
Eg Defence minister should have served in army and he must have administrative capasity .

I donot know when people will look in to this ,,

I am sad for the families of jawans , may god help them to become successful,, and come out of their sadness
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How to Spoof Caller ID – Caller ID Spoofing



Caller ID spoofing is the act of making the telephone network to display any desired (Fake) number on the recipient’s Caller ID display unit instead of the original number. The Caller ID spoofing can make a call appear to have come from any phone number that the caller wishes.

Have you ever wondered how to perform Caller ID spoofing? Read on to know more information on Caller ID spoofing and find out how it is performed.

Unlike what most people think, an incoming call may not be from the number that is displayed on the Caller ID display unit. Because of the high trust that the people have in the Caller ID system, it is possible for the caller to easily fool them and make them believe that the number displayed on the Caller ID display is real. This is all possible through Caller ID spoofing.

How to Spoof Caller ID?

You can easily spoof any Caller ID using services like SpoofCard. In order to use the spoofcard service, you need to pay in advance and obtain a PIN (Personal Identification Number) which grants access to make a call using the Caller ID spoofing service. Once you have purchased the service, you will be given access to login to your SpoofCard account. To begin with, you need to call the number given by SpoofCard and enter the PIN. Now you will be given access to enter the number you wish to call and the number you wish to appear as the Caller ID. Once you select the options and initiate the calling process, the call is bridged and the person on the other end receives your call. The receiver would normally assume that the call was coming from a different phone number ie: the spoofed number chosen by you - thus tricking the receiver into thinking that the call was coming from a different individual or organization than the caller’s. In this way it is just a cakewalk to spoof Caller ID and trick the receiver on the other end. Thus you neither need to be a computer expert nor have any technical knowledge to perform Caller ID spoofing. For more information on SpoofCard service visit the following link.

SpoofCard

How Caller ID Spoofing works?

Caller ID spoofing is done through various methods and using different technologies. The most commonly used technologies to spoof Caller ID is VOIP (Voice Over IP) and PRI (Primary Rate Interface) lines.

Today most VOIP systems provide an option for it’s users to enter whatever number they want in the calling party field and this number is sent out when they make a call. Hence it is easily possible for any user to spoof Caller ID provided they have a VOIP system and know how to properly configure it to spoof the Caller ID. However sites like SpoofCard provide an easy and cheap spoofing services for those who aren’t using VOIP systems that they can configure themselves.

Caller ID spoofing is possible and being performed right from the days Called ID system was introduced. However most people are unaware of the fact that it is possible to spoof Caller ID and make any number to be displayed on the receiver’s end. In the past, Caller ID spoofing service was mostly used by telemarketers, collection agencies, law-enforcement officials, and private investigators but today it is available to any Internet user who wish to perform Caller ID spoofing.