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Chef's Memo - a guide to organizing military food. The organization of catering in a military unit determines the nutritional regime of military personnel - a document. Catering in a military unit

STATE BUDGETARY EDUCATIONAL INSTITUTION OF HIGHER PROFESSIONAL EDUCATION "BASHKIR STATE MEDICAL UNIVERSITY" OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

Department of General Hygiene with Ecology, with a course of hygienic disciplines MPF

Head Department: Doctor of Medical Sciences, Professor Zulkarnaev.T.R.

Teacher: Doctor of Medical Sciences, Professor Shakirov.D.F.

Student's educational and research work:

« Food hygiene of military personnel in inpatient conditions».

Completed by: VI year student

Faculty of Medicine and Prevention

601A groups

Gimadieva S.R.

Checked by: Shakirov D.F.

    Fundamentals of food hygiene for military personnel.

    Allowance standards

    Diet.

    Product layout.

    Organization of a food supply system for military personnel.

    General requirements for the design and equipment of canteens.

    Conclusion.

    Bibliography.

NUTRITIONAL HYGIENE FOR MILITARY SERVICEMEN

Nutrition is an important factor in maintaining and strengthening health and maintaining high combat effectiveness of troops.

Redox processes continuously occur in the human body to maintain body composition and generate energy (metabolism).

To maintain life, it is necessary that all the body's expenses are fully reimbursed. This is achieved by taking in various nutrients from food - proteins, fats, carbohydrates, vitamins, mineral salts and water.

Proteins form the basis of life. They are the main integral part all tissues and organs, enzymes and hormones. Sources of proteins are food products of animal and plant origin: meat, fish, eggs, dairy products, bread, cereals. The daily protein requirement of an adult is 80-100 g.

Carbohydrates are the main source of energy for the body (50-60% of the energy cost of the daily diet) and determine the energy value of food. Their dietary sources are bread, cereals, vegetables, and fruits. The daily requirement for carbohydrates is 400-500 g.

Fats are an important source of energy. Each gram of fat provides the body with twice as much energy as proteins and carbohydrates. This allows you to increase the energy value of food without increasing its volume. Fats, in addition, are a source of fat-soluble vitamins (A, D, E, K) and biologically active substances(sterols). The daily requirement for fat is 80-100 g.

Minerals (salts) are part of tissues and organs and have a significant effect on metabolic processes. They are not synthesized in the body and therefore are essential components of nutrition. The most important salts are calcium, potassium, sodium, magnesium, phosphorus and iron. Lack of salts contributes to the occurrence of a number of diseases (anemia, toxic goiter, dental caries, etc.). Sources of minerals are a variety of foods - meat, fish, milk, vegetables, bread, as well as water and salt. The body's daily need for sodium chloride (table salt) in temperate climates is 10-12 g, and in hot climates - up to 20 g.

Water is necessary for the functioning of all organs and systems of the body, all metabolic processes. It is found in varying amounts in foods, but much of it is consumed in drinking water. Water plays an important role in maintaining the body’s heat exchange when working in the heat. Under normal conditions, the daily need for water is 2-2.5 liters, but during physical activity in hot weather it can reach 10 liters or more.

Vitamins are various biologically active substances that act as activators and regulators of metabolic processes. They promote better functioning of all major body systems, increase efficiency and resistance to infectious diseases. Insufficient consumption of vitamins leads to hypovitaminosis, which manifests itself in malaise, decreased performance, poor health, and poor resistance to various diseases. Hypovitaminosis can be caused by insufficient food consumption (especially vegetables and fruits), as well as violation of food storage and cooking rules. To prevent hypovitaminosis, especially in winter and spring, Hexavit vitamin tablets are included in the daily diet.

Allowance standards.

Existing food ration standards meet all the basic nutritional requirements for military personnel, both in terms of energy value (calorie content) and the content of essential nutrients. In accordance with the order of the Minister of Defense, the basic soldier's ration contains 108 g of protein, 103 g of fat, 653 g of carbohydrates with a total energy value of 4246 kcal. Separate rations are provided for personnel of surface ships and submarines, flight personnel, as well as for patients undergoing treatment in hospitals and military hospitals. They ensure replenishment of energy and nutrient consumption for the main categories of military personnel during various periods of combat training and service.

It is important to follow the correct diet, which helps maintain health and increases the body’s resistance to various types of combat training load. The diet is ensured by the daily routine and the rational distribution of products and dishes among meals, which is practically carried out in the form of a food layout. The food layout is compiled for the week, separately for each daily allowance, etc. hung in the lobby of the dining room to familiarize those eating, as well as to monitor the organization and condition of nutrition. The layout is compiled by the head of the food service of the unit together with the head of the medical service, the head of the canteen and the instructor-cook. When drawing up the layout, the required composition of products and their correct distribution among meals are taken into account: for breakfast - 25-30%, for lunch - 40-45%, for dinner - 20-30% of the energy value of the daily ration.

Dietary requirements are implemented in product layout, which allows you to use food ration products most correctly and rationally for preparing a variety of foods. The food layout is compiled by the head of the food service together with the head of the medical service, the head of the canteen and the instructor-cook. The layout of products, as a rule, is compiled for a week separately for each norm in triplicate. When drawing up the layout of products, the following are taken into account: · the features and nature of combat training for the planned period; · diet established for a given contingent of eaters; · availability and range of products available at the food warehouse of the military unit; · norms of food rations according to which personnel are fed; · the possibility of using farm products for additional nutrition; · qualifications and number of cooks; · availability and condition of technological, refrigeration and non-mechanical equipment in the canteen of the military unit; ·wishes of those who eat. The methodology for creating a layout is to vary the diet.

Variety of food– an important condition for its biological usefulness. It is achieved using various dishes and cooking techniques. During the week, the same dishes should not be repeated more than two or three times, and dishes from the same products should not be repeated throughout the day. The absorption of food by the human body largely depends on its taste, smell, and appearance.

Organization of a food supply system for military personnel

In the internal service troops of the Ministry of Defense of the Russian Federation, it is the duty of commanders of all levels to take care of the preservation and strengthening of the health of their subordinates and their material support. The deputy regiment commander for logistics, to whom the food supply service is subordinate, is obliged to organize high-quality nutrition for personnel and ensure that the required types of food are delivered to each serviceman.

The work of the kitchens and canteens, food warehouse, bakery, glaciers, utility and kitchen facilities is directly supervised by the head of the regiment's food supply. He is obliged to organize the delivery and proper storage of food, ensure the correct preparation of hot food and bring the required rations to soldiers, sergeants, officers, together with the head of the regiment's medical service, draw up a food layout, and at least once a month personally conduct control demonstration cooking of food with the cooks and check the quality of food in the regiment's warehouses.

The head of the regiment's medical service, responsible for the medical support of personnel, is obliged to participate in the development of a diet; carry out systematic medical control over its organization and quality; monitor the sanitary condition of economic services; present to the regiment commander conclusions regarding soldiers, sergeants and officers in need of dietary nutrition.

The medical service of a military unit, carrying out current sanitary supervision in the field of nutrition, is guided by the relevant general and special regulatory documents on nutrition issues.

"On approval of the Guidelines for food supply for military personnel of the Armed Forces of the Russian Federation and certain other categories of persons, as well as the provision of feed (products) and bedding materials for regular animals of military units in peacetime"

GENERAL REQUIREMENTS FOR THE STRUCTURE AND EQUIPMENT OF A MILITARY UNIT CANTEEN

The canteen of the military unit is located in a special building built according to a standard design. The dining room is built no more than 3 floors, preferably of brick. The site is selected with dense soil, a low groundwater level, and away from roads with heavy traffic. It is also necessary to take into account the relationship with the sides of the horizon, the direction of the prevailing winds, and the installation of access roads. The placement of technological equipment is carried out in such a way as to ensure strict flow of products during their processing. By equipping canteens with modulated equipment, better working conditions for cooks are created and space is used economically. This equipment has the same height, width (depth) and length, which allows it to be installed close to each other. Posters on the processing of relevant products are displayed in frames under glass at the workplace.

Conclusion

To solve the problem of improving the quality of food for military personnel, it is necessary to continue the construction of new and reconstruction of existing canteens, equipping them with modern technological and refrigeration equipment that allows mechanizing and automating the process of food preparation and food processing.

Bibliography:

    Melnichenko P.I., Ogarkov P.I., Lizunov Yu.V. “Military hygiene and military epidemiology”: Textbook. - M.: OJSC “Publishing House Medicine”, 2005

    Shakirov D.F., Zulkarnaev T.R., Muryseva E.N., Zigitbaev R.N., Salimgareeva A.I. “Military hygiene”: Educational and methodological manual for students, Ufa-2010.

    Internet resources.

The uninterrupted supply of personnel with high-quality food and food preparation is carried out by the food service. Monitoring the adequacy of nutrition, compliance with sanitary rules at all food service facilities, as well as monitoring the health status of persons working at these facilities is carried out by the military medical service.

GENERAL PROVISIONS

ABOUT THE ORGANIZATION OF CATERING IN THE MILITARY UNIT

The concept of rational nutrition and the principles of its organization.

For military personnel, a rational diet is one in which the qualitative and quantitative ratio of substances in the food taken and its distribution among meals during the day correspond to the needs of the body and ensure high combat effectiveness of the soldier and officer. The food ration or ration of a military personnel must provide the body with energy material and nutrients necessary for normal functioning, and consist of a set of food products that allow you to quickly prepare a large amount of varied and tasty food with minimal risk of contamination or contamination.

Meals for military personnel by its nature is public, food supply - centralized and is carried out according to established allowance standards. In addition, the nutrition of military personnel is characterized by two more features: cooking according to layouts products and permanent control from the command and medical service.

Distinguish rations boiler allowance, dry rations and additional. Boiler allowance rations are intended for preparing hot food both in barracks and field accommodation. Dry army rations are completed using concentrates and canned food. They are intended for food in conditions where cooking hot food in the kitchen is excluded. The high-altitude ration contains dry fuel tablets intended for heating canned food and making tea.

Boiler allowance rations and dry rations fully compensate for the energy costs of military personnel. As shown by numerous studies carried out in different time According to domestic scientists, in peacetime the energy consumption of military specialists is generally 3500-4500 kcal. Accordingly, army rations were compiled.

The exchange of energy in a real combat situation has not yet been studied. According to some reports, energy consumption during combat exercises amounts to 5,700 kcal. At the same time, it was found that a person can tolerate a significant calorie deficit - up to 2500 kcal, while maintaining combat effectiveness, if the water supply is adequate to working conditions and homeostasis is not disturbed.

Additional rations exist for military personnel of the airborne troops, for those who are content with high-altitude rations and serving in areas at an altitude of 3000 m and above sea level; for crews of jet, turbojet and turboprop aircraft, for officers, divers and other specialists. They compensate for either the adverse effects of harmful factors in working conditions or increased energy costs.

A military unit may have the following allowance standards. For privates and sergeants there is one, for example, the basic soldier standard, and one standard for officers. Patients being treated in the unit's infirmary are fed according to the hospital norm. Food for them is prepared in the kitchen of the regimental medical center or in the soldier's kitchen.

In addition, for those suffering from chronic gastrointestinal diseases gentle nutrition (dietary) is organized, in which kitchen fats are replaced butter; barley, pearl barley and some other cereals - rice, buckwheat or semolina; rye bread - wheat. Dietary nutrition, depending on the state of health, is prescribed for a period of up to 3 months. Responsibility for organizing dietary nutrition and nutrition in military hospitals according to hospital standards rests with the head of the medical service. Layout of products according to hospital norms and dietary nutrition, compiled with the participation of the head of food supply or a cook-instructor, is approved by the unit commander.

For persons working in conditions of contact with toxic substances or exposure to harmful physical factors, there is additional therapeutic and preventive nutrition, which is provided through canteens.

Diet of military personnel the next one is installed. In military units, with boiler allowance, hot food is given 3 times a day - for breakfast, lunch and dinner, and tea 2 times - in the morning and in the evening. Breakfast is provided before the start of classes, lunch - after the end of main classes, dinner - 2-3 hours before lights out. The intervals between meals should not exceed 7 hours. Meal hours are determined by the daily routine approved by the unit commander. The daily allowance for three meals a day is distributed according to calorie content as follows: for breakfast - 30-35%, for lunch - 40-45% and for dinner - 20-30%. The diet is set by the unit commander depending on specific conditions - the nature of combat training or the characteristics of the combat situation - taking into account the recommendations of the doctor and the deputy for the rear.

Responsibilities of officials.

The Charter obliges commanders of all levels to take care of the preservation and strengthening of the health of their subordinates and their material and living support. Deputy regiment commander for political affairs is obliged to take care of the nutrition of soldiers and officers. Deputy regiment commander for logistics, to which the food supply service is subordinate, is obliged to organize good-quality nutrition for personnel and ensure that required types food supplies to every soldier.

Directly supervises the work of kitchens and canteens, food warehouses, bakeries, glaciers, utility and kitchen facilities head of food supply unit. He is obliged to organize the delivery and proper storage of food, ensure the correct preparation of hot food and bring the required rations to soldiers, sergeants and officers; together with the head of the regiment's medical service, draw up a food layout, at least once a month personally conduct test cooking of food with the cooks and check the quality of food in the regiment's warehouses.

Head of the regiment's medical service is obliged to participate in the development of a diet, carry out systematic medical control over its organization and quality, monitor the sanitary condition of economic services and submit to the regiment commander reports on soldiers, sergeants and officers in need of dietary nutrition.

Medical service of a military unit, carrying out current sanitary supervision in the field of nutrition, is guided by the relevant general and special regulatory documents on nutrition issues. A military doctor needs, in addition to the regulatory documents for the medical service, to have a good knowledge of all the documents defining the norms of food rations, the procedure for receiving, storing and issuing them, the norms for replacing one product with another, types and purpose technical means food service. The doctor of the military unit must have a firm knowledge of the responsibilities of the officials responsible for organizing nutrition.

Nutritional deficiencies are most often associated with low qualifications of food facility personnel. Therefore, the doctor should not only demand from the head of the food service to carry out work to improve the qualifications of staff - cooking classes with chefs, sending cooks to catering establishments, organizing the exchange of experience, but also conduct classes with food (and medical) service personnel on various issues. food hygiene for military personnel, explain the importance of complying with hygiene requirements for the prevention of food poisoning and food preparation.

Persons who disregard the doctor's instructions should be subject to administrative sanctions or public condemnation. Such measures may also be applied to them, such as, for example, depriving cooks of salary bonuses given for good food preparation and excellent kitchen maintenance based on the doctor’s notes in the food quality assessment book. The unit doctor also participates in assigning to cooks qualification categories, on which wages depend.

By exercising control over nutrition, the doctor ultimately relies on the authority and power of the commander. Therefore, it is necessary to systematically broaden the horizons of the unit commander, as well as the political and logistical deputies in matters of nutrition. The most convenient way to do this is during the next report on the state of nutrition in the area.

MEDICAL MEASURES

ON HYGIENIC FOOD PROVISION

Objectives and content.

primary goal measures for the hygienic provision of food for military personnel is to ensure, with the help and means of the medical service, in interaction with officials of other services, a more complete adequacy of nutrition to the working and living conditions of military personnel and thereby contribute to the solution of combat missions or combat training tasks .

Determining the adequacy of nutrition to the nature of work and rest is an integral part of the hygienic assessment of nutritional status. The latter, in addition to determining the adequacy of nutrition, includes a medical examination of the personnel of the unit or unit and a study of the structure of general morbidity.

Medical nutritional support consists of hygienic and epidemiological control, appropriate hygienic education and medical supplies.

Hygienic and epidemiological control applies to food service facilities: kitchens, canteens, storage facilities, special transport, vegetable storage facilities, pickling points, field sites for slaughter, kitchen farms and to facilities of the main department of trade (voentorg) located on the territory of a military unit (grocery stores, soldiers' tea rooms, buffets), as well as the personnel serving them.

Hygienic food control in a military unit, includes the participation of a doctor in the development of a nutritional regimen in relation to the specific conditions of the troops’ activities and monitoring its implementation; participation in drawing up the layout of products and checking the correctness of replacing some products with others (according to the substitution table); sanitary supervision over the correct storage and transportation of food products; control over the sanitary condition of food service facilities and military food enterprises; monitoring the quality of food products and prepared foods, as well as monitoring the culinary process; hygienic analysis (assessment) of nutritional status; advisory assistance to food service workers in organizing measures to increase the physiological nutritional value and, above all, to reduce the loss of vitamins; participation in the development of measures for sanitary and technical improvement of food facilities; monitoring the supply of food facilities with good-quality water in sufficient quantities.

Epidemiological control aimed at preventing food poisoning of a bacterial nature. For this purpose, they carry out medical monitoring of the health of workers in the food warehouse, canteen, kitchen and persons servicing the water supply system, daily inspection of the daily outfit for the kitchen and canteen; control over the conditions of delivery, storage and processing of food products, as well as over the storage conditions of leftover food consumption.

Infection of food is possible after it has been prepared and served without repeated heat treatment. It must be borne in mind that infected products and prepared foods are practically no different in their organoleptic characteristics from uninfected ones. Short-term storage of food - no more than 1.5 hours is allowed only on the stove at a temperature not lower than 80 0 C. Prepared food can be stored in the refrigerator for no longer than 4 hours. For people who have not arrived at the dining room by this time, food is prepared separately. Food heated after storage is given out immediately; it cannot be stored. The weakening of medical control over kitchen staff is unacceptable, since in some cases they are involved in cutting food, although according to existing sanitary rules doing this is strictly prohibited. Extremely dangerous in this regard are those who have recovered from acute intestinal infectious diseases, who can be assigned to the kitchen no earlier than after 3 months. after discharge from medical institution and subsequent clinical, laboratory and instrumental research.

All measures aimed at preventing food poisoning and acute intestinal infections can only be effective if the sanitary condition of food supply service facilities fully meets hygiene requirements.

Hygienic assessment of product layout.

In all cases of boiler allowance, food preparation for military personnel is carried out only according to the layout of the products. The layout of products allows you to most correctly and rationally distribute the products assigned according to the norms of allowance for one person during the day, among meals and for the preparation of individual dishes. The layout is usually compiled for a week separately according to the norms of each ration. It is compiled by the head of food supplies and a doctor, and signed by the deputy commander for logistics and the head of the medical service. The layout is approved by the unit commander.

Hygienic assessment of product layout is carried out according to the following scheme. First, the validity of the adopted diet is established. Then the repetition of dishes of the same recipe, spicy and neutral dishes, frequency of preparation and assortment of cold appetizers during the day and week is determined. Next, the calorie content and its fluctuations on individual days, the distribution of the daily allowance for meals as a percentage of the total caloric content of the ration, the content of proteins, fats and carbohydrates (the percentage of the calorie content of the diet covered by them, the amount of animal proteins and vegetable fats) are assessed and the ratio is determined between proteins, fats and carbohydrates. In conclusion, the use of kitchen products for additional nutrition is checked (indicated in a separate column in the layout) and the correctness of replacing some products with others.

Replacement of products is carried out in accordance with established standards and in such a way that on average there is no excess consumption of these products per month. The unit doctor must carefully monitor the replacement of products, since the specified standards are compiled taking into account only the caloric content of the latter.

For ongoing monitoring of the sanitary condition of the kitchen and dining room, as well as the culinary process and the content of vitamin C in food in the regiment, using the property of the regimental medical station (RPM), it is not difficult to create a portable laboratory.

Assessment of the good quality of food products and their compliance with GOST requirements is carried out in the laboratory of the sanitary and anti-epidemic platoon (SPEV) of the medical battalion or other sanitary and epidemiological institutions. For this purpose, SPEV is equipped with an LG-1 installation (hygienic laboratory), garrison and district laboratories are equipped with an LG-2 hygienic installation.

FOOD IN THE FIELD

IN field conditions Unlike the conditions of stationary accommodation, food has the following features.

Instead of one kitchen-dining room, part or several units are deployed field kitchens at the rate of one per company. Separate groups of military personnel, separated from their units, prepare their own food. Nutrition becomes decentralized- by departments, groups, or maybe even individually. For cooking, field kitchens are used with a minimum amount of kitchen utensils and equipment. Instead of sharing tableware, personnel use individual dishes- a soldier's bowler hat, a spoon and a mug. In field conditions, canned and concentrated products are widely used.

The complexity and transience of the combat situation can cause a disruption in the regularity of nutrition and the usual distribution of food into three meals: breakfast, lunch and dinner. Difficulties may arise in storing food.

Nutrition standards and food products.

In wartime, active army personnel are supplied with food products according to field ration standards, which include bread or crackers, meat or canned meat, cereals and vegetables or briquetted concentrates of first and second courses, as well as fats, sugar and tea. To improve taste and increase calorie content, broth pastes are used, the main part of which are protein hydrolysates. Dishes from food concentrates are prepared with broth pastes.

Difficulties arising in baking and delivering bread force it to be replaced with breadcrumbs, canned bread or slow-staling bread. Rusks are reconstituted before eating. To do this, place two or three crackers, separated by spoons, on the edge of a soldier's pot for 10-15 seconds (which corresponds to 3-4 breaths during normal breathing) filled with water. After pouring out the water and closing the pot with a lid, heat the crackers over the fire for about 5 minutes. After this treatment, the taste and consistency of the crackers are close to bread.

Slow staling bread is prepared as follows. Mustard is poured into the bottom of a cardboard box, a sheet of filter paper is covered on top, freshly baked hot bread is placed in the box and it is closed. The joints of the box flaps are sealed with paper tape. The boxes are then stacked and kept for self-sterilization (due to high internal temperature) for 4-6 hours.

Canned meat and meat and vegetables are used both for boiler meals and for individual and group meals.

In field conditions, dry rations are widely used, especially as rations NZ - an emergency portable supply. Dry rations NZ are intended to provide food for personnel ground forces, as well as individual military contingents in exceptional cases of combat situations when it is impossible to prepare hot food.

For rations, NZ can use food grain concentrates, which are a highly nutritious mixture of crushed wheat crackers with various pre-prepared products (meat, milk protein, powdered milk, honey, cocoa, sugar, coffee, fruit extract, etc.). The daily ration of dry rations includes 3 briquettes of concentrates of 200 g each, 45 g of sugar and 2 g of tea. Ration weight (net) 647 g, volume 0.9 l. Shelf life: no more than 18 months.

From meat, milk or protein briquettes of bread concentrates you can prepare a hot liquid dish in the form of soup. To do this, the pre-crushed briquette is placed in a pot of boiling water (0.4 l) and brought to a boil. Bread concentrates can be consumed in in kind without heat treatment, washed down with tea or drinking water.

By meal daily ration dry rations are recommended to be distributed as follows. For breakfast and dinner, one sweet briquette, for lunch - a meat, milk or protein briquette. Tea and sugar are distributed evenly over three meals. It is not recommended to eat dry rations from concentrates for more than 3-5 days. The calorie content of the ration is sufficient to maintain the combat effectiveness of personnel for the specified time.

Dry rations and rations NZ are placed either in combined cardboard-metal cans or in plastic bags. Soldiers store rations in a duffel bag. In tanks, on vehicles for transporting combat crews, in armored personnel carriers and self-propelled artillery installations, NZ rations are stored in metal storage boxes with hermetically sealed lids.

Field technical equipment of the food service.

All technical means of the food service used for the preparation, transportation and storage of food products in the field can be divided into the following groups: means for preparing food, means for cooking hot water, means for transporting and storing products, field bakeries and field mobile factories, mills and slaughterhouses.

Military units are supplied with auto kitchens PAK-170 and camp kitchens KP-125 with frame tent and KP-2-49. The PAK-170 auto kitchen is more convenient. Here, food is prepared in a well-equipped vehicle, even while driving. Food is delivered to the units in thermoses, in which it remains hot for several hours at an air temperature of -15 0 C.

When organizing catering in large rear formations (headquarters, hospitals), field kitchens and canteens are deployed.

To prepare hot water, in addition to the hot water boiler available in all camp kitchens, portable boilers such as PNK-2 and others are used.

Perishable food products are stored and transported in refrigerators and refrigerated trucks. The remaining products, packaged in kraft paper bags, cardboard boxes with polyethylene liners and other appropriate containers, are stored and transported in food trucks, and small quantities in special containers.

In field conditions, the military unit either bakes bread itself or receives it from the divisional field bakery.

Water is stored and transported in automobile tanks AVTS-28, AVTS-15, tanks CV-3 and other special means. Water supplies are also created by filling all free containers available in field kitchens.

Catering.

In field conditions, food for troops is organized through field nutrition points (FPP). The main ones are battalion food points (BPP), deployed by the forces and means of the economic department of the battalion supply platoon. Prepared food, bread, sugar are delivered to company distribution points, from where they are carried by carriers to the battle formations.

A minimum of kitchen equipment and accessories are used for cooking. Food is often prepared from canned food and concentrates. For various reasons, meals may be irregular, but hot food should be prepared at least twice a day.

In field conditions, meals can be boiler-based, independent (individual-group) or mixed.

With boiler power supply in field conditions, its organization in principle may not differ from boiler power supply in peacetime during stationary deployment of troops.

When providing independent or individual group meals, military personnel, depending on the situation, either prepare hot food or consume a food ration without heat treatment.

At mixed diet hot food is provided 2 times a day - for breakfast and dinner, and in the intervals between them, soldiers take pre-issued intermediate food products: bread or crackers, boiled meat or canned meat and vegetables, lard.

On the march, boiler power is usually provided. Before the march, personnel are given dry rations, which can only be consumed with the permission of the commander. Hot food is served in the rest areas. Small units and separate groups(regulators, scouts) feed on their own. In some cases, they are provided with thermoses of hot tea.

Subsisting units in the field are a battalion, division or company. Therefore, in field conditions, responsibility for organizing rational nutrition for military personnel in a unit, in addition to unit officials, rests with the unit commander, the commander of the economic platoon (or supply platoon) and the unit’s medical worker.

The responsibilities of the commander of the economic department include: checking the quality of incoming food and prepared food, timely delivery of prepared food and dry rations to the units, monitoring the culinary process and the activities of cooks.

The medical worker takes part in choosing a diet, in the unit controls the correct storage and quality of products and prepared foods, the timeliness of their delivery and distribution conditions, and conducts medical supervision of the cooking staff.

The unit commander gives instructions on the deployment of a battalion food station (BPP) on the ground, makes a decision on the diet, controls the quality of food preparation and bringing the required food standards to the personnel, checks the availability and condition of food supplies among the personnel and, in established cases, authorizes their consumption .

Hygienic features of nutrition in the field and medical control.

From a hygienic point of view, there are 4 features in the nutrition of military personnel in the field: an increased possibility of food poisoning, the possibility of food contamination with OB, PB and BS, the use of captured food and locally prepared products and, in some cases, low content of vitamins in food.

The increased risk of food poisoning compared to peacetime is due to for the following reasons. As mentioned above, in the field, food is prepared not in one, but in many kitchens with minimal equipment. This increases the likelihood of violation sanitary requirements to the conditions of food processing, distribution and storage. A change in the combat situation entails a disruption in the diet, which can lead, in particular, to an increase in the delivery time of ready-made food to units. It is difficult to store perishable products at the BPP. One of the causes of food poisoning may be improperly cut and poorly stored boiled meat provided for intermediate meals. Soldiers take food from individual dishes, for washing which sometimes a limited amount of water is allocated. Food poisoning can also occur as a result of consuming inedible products of plant or animal origin. Finally, it must also be borne in mind that in a combat situation, conducting systematic medical monitoring and, in particular, bacteriological examinations of food supply service workers is often difficult.

The specified nutritional features of military personnel in the field determine the corresponding tasks of medical control. Such tasks are: prevention of food poisoning, monitoring the effectiveness of protecting food and food service equipment from weapons of mass destruction used by the enemy, examination of food and prevention of hypovitaminosis.

Food examination is carried out when investigating the causes of food poisoning, detecting signs of food spoilage, local food procurement, use of captured food products and suspicion of food contamination with weapons of mass destruction. In the first three cases, the examination is predominantly sanitary in nature. Its task is to assess the quality of food and its compliance with accepted standards. In cases where the food supply that is subject to examination is small and it is known exactly what it is contaminated with (OM or RV), the unit doctor conducts a sanitary examination to assess the admissibility of using food to supply personnel.

The examination of captured food and food suspected of being contaminated with weapons of mass destruction is carried out, as a rule, by specialists from army and front-line sanitary and anti-epidemic institutions and is called a hygienic examination.

Nutrition when the enemy uses weapons of mass destruction (WMD).

At widespread use by an enemy of WMD, radioactive and toxic substances or bacterial agents can get onto food and prepared foods during food transportation, preparation and distribution. Therefore, food must be transported in tightly sealed containers. Vehicles for transporting food are equipped with a tightly built body and a food box, which protects the food from dust. A food machine creates a transportable supply of good-quality water for cooking, and sometimes for decontaminating the kitchen.

It is advisable to transport food through uncontaminated areas of the area, along roads that are less congested with transport and less dusty. Boiler lids are screwed well on the march camp kitchens and protect them from dust.

The protective properties of food containers depend on the material from which it is made, its thickness and tightness.

Glass and metal containers, if they are sealed, completely protect food products from contamination by toxic substances (TS), radioactive substances (RS) and biological agents (BS). Plank and plywood boxes and wooden barrels can either completely protect food from contamination or significantly reduce its degree. Containers made of thick cardboard and sealed reduce contamination by droplet-liquid agents and protect against contamination by agent vapors, radioactive dust and BS. Containers made from shingles and twigs only to some extent reduce the degree of infection.

Film packaging polymer materials, if it is sealed, provides protection from vapor and fog-like agents, radioactive dust and bacterial agents, and from metal foil it completely prevents from contamination by droplet-liquid agents.

Soft containers made of burlap or matting, being unsealed, do not protect food from contamination, but significantly reduce it, especially from radioactive dust.

You can reduce the contamination of food products stored in unreliable containers or without them at all by covering them with a tarpaulin, protective paper, straw, soil, snow, ice and other available means. You should always remember that it is easier to protect food from contamination than to carry out special treatment.

Food should generally be prepared outside of contaminated areas. After overcoming the contamination site, the degree of radioactive or chemical contamination of personnel, kitchens and kitchen equipment, as well as food and water is determined. Determining the degree of infection bacterial agents is not carried out, since establishing the fact of the enemy’s use of bacteriological weapons is in itself sufficient to carry out disinfection and other necessary measures. Then the chefs go through sanitization, and the kitchen is decontaminated, disinfected or degassed.

Cooking in areas contaminated with radioactive substances is allowed only if the level of radiation is insignificant. In this case, canned foods and food concentrates are widely used, which are much better protected from weapons of mass destruction than other products and allow you to quickly prepare food.

Special food processing is quite complex. Persons conducting it must have special training and the necessary equipment. Therefore, in military units, only food products enclosed in hermetically sealed containers are processed accordingly. The remaining contaminated products are either delivered to special warehouses, if neutralization is possible, or destroyed.

In the field for disinfection food may be boiled and processed chemicals. So, metal containers are boiled in a 3% soda solution for at least 2 hours, having first removed the grease from the surface of the cans. It is advisable to disinfect canned food in glass containers by immersing it for 30 minutes in a 5% solution of monochloramine or a 3% solution of bleach or for 1 hour in a 6% solution of hydrogen peroxide. After processing, the jars should be thoroughly rinsed in clean water. Wooden or other leaking rigid containers are disinfected by irrigating with a 20% solution of bleach or monochloramine and wiping with a rag soaked in the same solution.

After removal from the container, food is boiled for at least 2 hours. Fresh meat and large fish should be cut into pieces weighing no more than 1 kg.

Dishes and small kitchen utensils are disinfected by boiling in a 20% soda solution for at least an hour.

Degassing of food products can be done by airing, removing the surface contaminated layer of the product, washing with water, cooking and other methods.

Those parts of food products that are contaminated with droplet-liquid agents are not subject to degassing and are destroyed. This applies, first of all, to ready-made food, as well as to food products that are consumed without preliminary cooking (for example, bread).

Degassing of fatty products poses significant difficulties, since many chemical agents are highly soluble in fats and can remain in them for a long time without losing their toxic properties.

Food products in sealed containers are used after degassing the container. Degassing of containers contaminated with organophosphorus agents is carried out by irrigation with a 3-5% solution of caustic soda or a saturated solution of slaked lime, followed by thorough wiping. To degas containers contaminated with mustard gas or lewisite, use aqueous solutions of bleach, bleach slurry, 5-10% water solution monochloramine, etc. After treatment with degassers, the container should be washed with water.

When food products are contaminated with chemical vapors, they are degassed by ventilation. Degassing by ventilation is carried out in the same container in which the food products are located. Periodic stirring and heating of bulk products accelerates the self-degassing process.

When infected with droplet-liquid unstable agents, bulk products are degassed by ventilation, and meat, sausages and fish are degassed by cutting off the infected areas to a depth of 1-1.5 cm and repeated washing with water. From contaminated fresh vegetables and fruits, the contaminated part of the product is removed and thoroughly washed with water. Solid fats are degassed by removing the contaminated layer to a depth of 1-2 cm.

Food products contaminated with droplet-liquid persistent agents are degassed by removing the surface layer to a depth of 2-3 cm. The contaminated part separated from the food product is destroyed. Due to the fact that the rest of the product may be contaminated with chemical vapors, it must be degassed by ventilation (bulk products) and washing with water (meat, fish, vegetables). All degassed products are used after cooking and a doctor’s permission.

Food products that cannot be degassed are destroyed by burning or burying them in the ground, after filling them with kerosene, gasoline or oil. Burning such foodstuffs can create very high concentrations OV vapors. In this regard, personnel carrying out combustion must wear gas masks and protective clothing.

Degassing of dishes and small kitchen utensils is carried out by boiling for 1-2 hours.

Food decontamination produced mainly by mechanical removal of radioactive substances.

If food products were stored in sealed containers and did not acquire induced radioactivity, then they can be used after decontamination of the container surface and dosimetric monitoring. Decontamination of metal and glass containers is usually done by washing with water or wiping with a rag soaked in water.

Food products stored in unsealed containers are decontaminated by transferring them from contaminated containers to clean ones, removing the surface contaminated layer, and washing with water. Decontamination by replacing contaminated containers with clean ones is most often used to neutralize bulk products. If they are in bags, then use various ways separating the outer contaminated layer of the product from the inner one. Most in a simple way is to moisten the bag with water. After this, the bag is unstitched, the top is carefully rolled up and the contents are scooped into a clean bag. Decontamination of products stored in solid containers (barrels, boxes) begins with treating the container, which is washed with a stream of water or wiped 2-3 times with a rag soaked in water. Then dosimetric monitoring is carried out. If repeated decontamination does not reduce the degree of contamination, then the product is transferred to a clean container.

Bulk food products in solid containers are decontaminated as follows. First, remove the top contaminated layer of the product, then select the product from the middle of the container and transfer it to a clean container while simultaneously removing the layers adjacent to the walls.

To decontaminate fresh meat, sausages, fish, potatoes, carrots, beets, fresh cabbage and other food products, use abundant and repeated washing with water. The most contaminated areas of the product must first be removed. When decontaminating potatoes, if washing with water does not desired result, you can process it in a potato peeler.

In cases where decontamination of food products fails to reduce contamination to acceptable levels, perishable products are destroyed by burying them in the ground. Food products that can be stored for a long time are kept in special warehouses for the period necessary to reduce contamination as a result of natural radioactive decay.

Dishes and kitchen utensils are decontaminated by repeated washing. hot water with soap. After this, the treated items are rinsed in clean water and dried.

Food, like water, after special treatment, can only be consumed with the permission of the head of the medical service.

HYGIENE EXAMINATION

FOOD IN THE FIELD

GENERAL PROVISIONS

Contamination of food products with weapons of mass destruction is possible when splashing agents or BS from special aviation devices; explosion of shells and bombs filled with explosive agents or BS; product loss nuclear explosion from a radioactive cloud; when using contaminated water and equipment for processing food products.

Food products may be exposed to weapons of mass destruction in warehouses, during transportation, processing, storage in a soldier's duffel bag, and also before harvesting.

It is possible that food may be contaminated by the enemy when retreating from occupied territory or through sabotage. In the latter case, bacterial formulations, chemical agents and highly toxic substances, alkaloids, salts of heavy metals, agricultural pesticides, low-toxic substances that do not change the color, smell and taste of the food product can be used.

The right to make a decision on the suitability of contaminated or suspected contaminated food belongs only to the hygienist. Therefore, this type of medical examination is called hygienic and is headed by a hygienist.

Hygienic examination is carried out in 4 stages: I - on-site research, II - sampling, III - laboratory research and IV - drawing up an expert opinion.

ON-SITE STUDY

The first stage of the hygienic examination is carried out at the site (at a food warehouse, etc.) and includes the collection of information, inspection of the site and area, and carrying out an indication.

Collection of information allows you to clarify the type and method of weapons of mass destruction used by the enemy and includes obtaining data from general and special intelligence, higher headquarters, materials from surveys of personnel, local residents and shoulders.

Inspection of the object and area. When inspecting an object, you should pay attention to characteristic features enemy use of explosive agents. Such signs may be the appearance of a cloud of fog or smoke moving downwind from the site of the explosion of shells and aerial bombs; the presence of oily drops and stains on the ground, grass, buildings, and on the surface of the water; discoloration and wilting of plants; appearance foreign odor; the presence of dead animals and birds, and dead fish in water bodies.

The inspection of a food facility begins with receiving from the head of the inspected facility updated information about the nature of the contamination and the decontamination of the territory and premises. After this, the premises and products are inspected. The inspection is carried out sequentially, and until the inspection of one room is completed, they do not move on to the next. Pay attention to the location of the room relative to the epicenter of the infection, to the condition of the walls, windows, doors, hatches, roof, containers, coatings and packaging of products, to changes in the color and appearance of products. Record the presence or absence of traces of droplet-liquid agents on the container, packaging material or on the products themselves.

To indicate OB The medical-veterinary chemical reconnaissance device PHR-MV is used, which allows you to detect known chemical agents in water and food, as well as determine alkaloids and salts of heavy metals in water.

To measure radioactive contamination of water and food products, a field dosimetric device is used - a radiometer-radiometer DP-5A.

If the results of the indication and on-site inspection, as well as the collected information, irrefutably indicate the absence of any contamination or, conversely, an indisputable contamination, the level of which exceeds the values ​​​​established in wartime by 10 times, the on-site expert makes the final decision. In the first case, water or food is allowed to be used for subsistence, in the second it is prohibited, and the examination ends at this stage. Prepared food that is not sufficiently protected and ends up in contamination zones is not subject to examination or special processing and is destroyed.

If the fact of infection (at a level not exceeding 10 times the values ​​accepted for wartime) is established or infection by unknown agents is suspected, then a preliminary decision is made. According to this decision, in the first case, the object of examination is sent for special processing, in the second - for laboratory research in the sanitary-anti-epidemic platoon (SPEV) or in the sanitary-epidemiological institution. Special processing refers to decontamination, neutralization and disinfection, as well as combinations of these methods.

With the second decision option, the expert proceeds to the next (II) stage of the examination - sampling.

SAMPLE SELECTION

Sampling is a very important stage of the examination and is carried out by a representative of the medical service in the presence of the responsible official.

Sampling of food products for laboratory testing for contamination with OM, BS or RV is carried out as follows. Samples are taken from the surface layers, opening at least 10 places in the batch. About 100 g of product is removed from each place and mixed into a total sample, the mass of which should be about 1000 g. It is prohibited to prepare samples by mixing the surface layers with the deep ones.

It is necessary to especially emphasize the practical importance of sampling from surface layers. Firstly, this eliminates the possibility of poisoning people, since if an average sample is prepared by mixing surface layers with deep, uncontaminated ones, the average contamination may be within acceptable limits. Secondly, sampling from the surface layers as the most contaminated facilitates the determination of OM in the product, since it is easier and faster to establish a higher contamination of the product than a low one.

It should also be borne in mind that over time, a redistribution of OM occurs in food products. During the period of exposure of the product to gas, steam or aerosols, its upper layers become infected to a depth of 1-4 cm. After stopping the use of the agent in the first 2-3 days. a significant amount of OM is desorbed, and some goes deep into the product.

It is recommended to take samples from surface layers to the following depth: from solid products (meat, fish, bread, etc.) 1 cm, from bulk products (cereals, granulated sugar) - 3 cm, from porous ( pasta, crackers) - by 10 cm, from semi-liquid products (jam, preserves) - by 5 cm. An average sample is taken from liquid products. Fruits and vegetables are selected individually.

From the products contained in bags stacked, samples are taken in a checkerboard pattern from the areas most suspected of contamination. A U-shaped cut of the burlap is made, approximately 10x20x20 cm in size. The cut flap is rolled up, and from the exposed area, a sample of the top layer is taken with a scoop to a depth of about 3 cm, weighing about 100 g from 10 bags of this batch. Samples from products stored in bulk are also taken with a scoop to a depth of approximately 3 cm, 100 g each from 10 different places. If the product is stored in boxes, a sample is taken from the surface of the product in contact with the contaminated wall. Samples from solid products (meat, fish, bread) are cut from surface areas about 1 cm thick. Samples of drinks stored in baths and vats are taken from the surface and bottom using a glass tube, samples from a mixture of solid and liquid products (ready-made dishes , pickles, pickles, etc.) - separately from the surface layer of the solid product and liquid.

Samples are placed in glass jars with a ground stopper or plastic lid. Bulk products are packaged in plastic bags, which are hermetically sealed by folding the film 3-4 times. The bag with the folds pressed to it is tightly tied with twine. Samples are numbered. The same number in the form of a label or inscription is also placed on the packaging of the product from which the sample was taken. The samples are sealed, wrapped in paper and placed in a box. Samples are delivered to the laboratory by special transport, and to a close distance - on foot.

The accompanying form, which is drawn up in 2 copies, must indicate the following: name of the product, sample number, date and time of its collection, purpose of the study, name of the facility where the sample was taken, its address, circumstances of contamination, number of products with questionable contamination, surname and the position of the person who took the sample.

LABORATORY STUDY

The third stage of hygienic examination - laboratory research - includes sanitary-toxicological, sanitary-bacteriological and virological, sanitary-radiological and dosimetric, as well as sanitary studies chemical composition And physical properties water and food products. As mentioned above, if necessary, specialists from chemical, food and veterinary services can be involved, who conduct appropriate special laboratory tests.

EXPERT OPINION

As a result of the hygienic examination of captured food or food products that were in the zone of contamination with agents and radioactive substances, the following decisions can be made:

  1. the product is allowed to be used for food purposes without any restrictions. Such a conclusion can be made if the product was stored in a sealed container, and the outer surface of the container, in case of contamination, was carefully treated;
  2. the product is ready for use healthy people, if its contamination does not exceed the maximum permissible levels;
  3. the product is suitable for consumption, but must be sold through the public catering system if its contamination with chemical agents or radioactive substances is such that degassing (decontamination) will occur during culinary or technological processing;
  4. the product must be degassed or stored;
  5. the degassed product is suitable for consumption by healthy people with limited periods of nutrition, if the residual amount of OM and RS in the finished food does not exceed the maximum permissible values;
  6. The product is unfit for human consumption and must be destroyed. This decision is made when small quantities of food are contaminated with droplet-liquid OB, as well as in case of poor quality for sanitary-chemical and sanitary-physical reasons.

During the examination of food products that were in the area where biological agents are used, the expert’s decisions may be as follows:

  1. the product (water, food) is allowed to be used for food purposes without restrictions. Such a conclusion can be made if the product was stored in a sealed container, the outer surface of which was reliably disinfected;
  2. the product is suitable for consumption after heat treatment;
  3. the product must be destroyed.

The total daily intake of chemical agents and radioactive substances from water and food should not exceed the corresponding proportion of each toxic substance.

Food products to be destroyed are burned or buried. In the latter case, they are pre-mixed with carbolic acid or oil. The top layer of buried products is located at a depth of at least 1 m. Incineration is carried out in a trench about 1 m deep in a light wind. People should be on the windward side. The destruction of products is carried out by a commission appointed by the head of the food facility.

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ORDER of the Minister of Defense of the Russian Federation dated 06/21/2011 888 ON APPROVAL OF THE GUIDELINES FOR FOOD SUPPLY FOR MILITARY SERVANTS... Relevant in 2018

The procedure for organizing meals for military personnel in stationary conditions

11. To provide food for military personnel by the states military units Canteens are provided, which, according to the technological process of food preparation, are divided into full-cycle canteens, factory-canteens, pre-cooking, and dispensing.

If there is no officer's canteen in a military unit, meals for officers are provided in separately equipped rooms (dining halls) of soldiers' (sailors') canteens.

Meals for regular crews of ships and support vessels are organized through galleys, wardrooms of ships and support vessels, and canteens of floating and coastal bases.

12. The staffing number of cooks in military units is established based on labor legislation.

When organizing meals for military personnel, it is not allowed to reduce the staffing level of regular cook positions to less than 70%.

When organizing meals for military personnel of a military unit through public catering establishments, from 70 to 100% of cook positions on the peacetime staff are kept vacant.

All cooks on the staff of the military unit are recruited to work in the canteen, with the exception of cooks who prepare food for units operating in isolation from the point of deployment of the military unit.

When organizing meals for military personnel of one military unit through the canteen of another military unit, the cooks and the head of the canteen of the military unit assigned to food supply are recruited to work in the canteen in which meals for military personnel are organized.

13. In the canteen of a military unit, food processing, food preparation and distribution are carried out in compliance with the requirements of sanitary rules and regulations.

Cooks and bakers who have a special education who have undergone preliminary and periodic medical examinations upon admission, professional hygienic training and certification, and have a personal medical record in which the results are entered medical research, information about past infectious diseases, marks on completion of hygienic training and certification. They are provided with special clothing according to established standards.

Persons who constantly work at food service facilities (heads of canteens and warehouses, storekeepers, specialists in the repair of refrigeration and technological equipment, forwarders, drivers of special vehicles intended for the delivery of perishable products and bread) are also provided with special clothing in accordance with established standards and are allowed to work only after passing a preliminary medical examination, professional hygienic training and certification<*>.

instructs cooks and daily workers in the dining room on compliance with safety requirements when performing work;

immediately reports to his subordinate and the duty officer at the military unit about all shortcomings in the work of the daily canteen squad, communication faults, inconsistency of food received from the warehouse, unsatisfactory sanitary condition of the canteen and violations that do not allow for full compliance with the requirements of sanitary rules and regulations;

checks the availability of personal medical records for each cook, monitors the timely completion of preliminary medical examinations upon employment and periodic medical examinations by cooks, and maintains a log of their examination;

annually organizes professional hygienic training and certification of cooks<*>;

takes part in preparing food layouts and conducting control and demonstration cooking of food;

controls the receipt by the instructor-cook, senior cook of products from the food warehouse to the dining room in terms of quantity and quality, as well as the completeness of their placement in the cauldron in accordance with the layout of the products, the correctness of their culinary processing and the yield of ready-made dishes;

maintains records of equipment, tableware and kitchen utensils (including a book for registering broken utensils), inventory and other property, monitors their condition and safety;

keeps records of saved products in the canteen, organizes collection and correct use food waste.

17. In order to prevent food poisoning and acute intestinal infections, officials of the food service of the military unit:

strictly comply with the sanitary and epidemiological requirements for the delivery, reception, storage and delivery of food products to the canteen, culinary processing of products, preparation, storage and distribution of prepared food to military personnel, maintenance and operation of food service facilities of a military unit;

strictly observe the rules of personal hygiene.

Head of the food service of a military unit:

ensures compliance at food service facilities with sanitary and epidemiological requirements for the nutrition of military personnel;

participates in the development, together with the head of the medical service of the military unit, of basic measures for the prevention of food poisoning and diseases of acute intestinal infections and organizes the implementation of activities assigned to the food service of the military unit;

conducts classes with junior specialists food service to comply with sanitary and epidemiological requirements and adherence to personal hygiene rules.

During the implementation of measures to eliminate the source of food poisoning and acute intestinal infections, the head of the food service together with the head of the medical service of the military unit:

develops a plan of main measures to eliminate the source of food poisoning and acute intestinal infections and organizes its implementation;

immediately reports to the head of the food service of the operational-strategic command and fleet on the identification of sick people, as well as on measures taken to prevent the spread of diseases.

18. The canteen of a military unit must have the necessary production, auxiliary, household and technical premises, dining rooms, utilities, equipment and property that ensure the technological process of preparing food and its reception by military personnel, compliance with the requirements of sanitary rules and regulations.

The availability of canteen premises for military units (galleys, wardrooms of ships and ships), bakeries and bakeries, their areas, layout and equipment are determined by departmental building standards agreed with the (food) department. The technological part of the projects for the construction and reconstruction of canteens (galleys) is coordinated with the department (food), and capital repair projects are coordinated with the food service of the operational-strategic commands and fleets.

19. In large garrisons (base military camps), a factory-canteen and pre-training canteens are being designed.

The factory-canteen is intended for:

cooking and catering for military personnel;

centralized preparation of meat and fish dishes (semi-finished products), vegetable semi-finished products, confectionery for military personnel of the garrison (base military camp). Centralized preparation of semi-finished products and dishes, confectionery products in the canteen factory is carried out according to technological instructions, according to regulatory and technical documentation in the presence of a sanitary and epidemiological conclusion issued by the centers of state sanitary and epidemiological supervision;

transfer of prepared food (semi-finished products) to pre-preparation canteens of military units (with a guaranteed shelf life in thermoses of no more than 3 hours, including transportation time)<*>.

mixing and storing cold snacks;

food storage;

washing, drying and storing tableware and kitchenware;

food waste.

20. In dormitory buildings, administrative and educational buildings, in the presence of a sanitary and epidemiological conclusion issued by the centers of state sanitary and epidemiological supervision, canteens with up to 100 seats (up to 300 people eating) can be located with a minimum number of production and auxiliary premises (main workshop, room for primary processing of vegetables, washing department), food preparation in which is carried out using semi-finished products high degree readiness.

The main workshop includes 10 technological sections, separated by partitions, including for:

primary processing of meat and fish with the production of semi-finished products from them;

processing of boiled (fried) meat;

processing of chicken eggs;

cutting raw vegetables;

preparing cold appetizers;

preparing dough products;

bread storage;

storing butter and cheese;

pouring third courses and cooling sweet dishes;

preparing dietary dishes.

The equipment in the main workshop is placed against the wall along the perimeter of the room. In the middle of the workshop, a section of thermal equipment is located in an island manner.

For military units with up to 3,000 people, canteens are designed that provide a full technological cycle of food preparation.

21. Calculation of the required number of digester boilers is made based on the following standards per 1 meal for:

first course - 0.65 l;

second course (including 20 - 30% cauldrons with a mixing device) - 0.45 l;

third course - 0.3 l;

boiling water - 0.5 l;

reserve - 0.2 l.

22. To organize catering on ships and support vessels, the following are provided:

on ships, support vessels I<*>and Group II - dining room, wardroom;

<*>Group I - support vessels on which the full-time crew constantly works and lives during the entire navigation period (more than 40 hours).

Group II - support vessels on which the full-time crew periodically works and lives (up to 40 hours).

Group III - support vessels on which the full-time crew is present only during work and lives on shore.

on support vessels Group III- duty room.

On Group I support vessels with a crew of up to 5 people, a galley can be used for meals, which houses a dining table.

On group II support vessels with a crew of up to 6 people, instead of a dining room and wardroom, a duty room may be provided.

23. Each piece of equipment in the dining room (galley) is assigned to specific officials who must comply with the rules of operation, Maintenance equipment and safety precautions when working on it, monitor timely maintenance and comply with sanitary rules and requirements for its maintenance.

24. Food in the canteens of military units is prepared according to the food layout. When planning meals, food ration products are distributed among meals in accordance with the standard distribution by food groups, assortment and quality requirements for the food supplied.

Technological operations for preparing dishes according to different norms of food rations can be combined without changing the norms for laying down products and the output of ready-made dishes provided for by the layout of products.

According to the food supply standard No. 1 (combined arms ration), approved by the Resolution, hot food is prepared and distributed 3 times a day (for breakfast, lunch and dinner). For military personnel who receive additional food during catering, four meals a day can be provided.

According to food supply standards No. 2 - 5 (flight, sea, underwater, medical rations), approved by the Resolution, hot food is prepared and distributed at least 4 times a day. On days not related to military service duties - flights, swimming (weekends, holidays), the number of meals can be reduced to 3 times a day.

The hours and order of meals for military personnel are determined by the commander of the military unit.

25. On flight days, the flight crew takes food 1.5 - 2 hours before the start of flights. Second breakfast is served between flights or after flights.

If necessary, on flight days, meals for flight crews and aviation engineering staff can be organized directly at the airfield. For this purpose, prepared food is transported in thermoses, and special rooms (places) for heating and eating food are equipped at airfields.

26. Nutrition planning for full-time crews of surface ships, support vessels and submarines for the period of voyage (autonomous navigation) is carried out accordingly according to food supply standards N 3 (sea rations) and N 4 (underwater rations), approved by the Resolution, according to the food distribution drawn up by the chiefs food and medical services of the formation (association) of surface (underwater) ships with the participation of the senior assistant to the ship's commander, the head of the medical service and the instructor-cook (senior cook), taking into account the available range of products and tasks performed during the voyage.

Based on the standard layout of products for issuing food to the galley and monitoring the quality of food preparation during the voyage (autonomous navigation) of a surface (underwater) ship that does not maintain its own economy, a delivery note is issued daily.

27. List of categories of divers who are provided with food according to the food supply standard N 3 (sea rations), approved by the Resolution, as well as a list of lighthouses, radio beacons, groups of navigation equipment, radio navigation and hydrometeorological stations (posts), control and measuring stations and other coastal Navigation equipment facilities of the Navy located in areas and localities where there are no public catering establishments or retail chains, the civilian personnel of which are provided with food rations according to the food supply standard No. 1 (combined arms rations), approved by the Resolution, established by the Commander-in-Chief of the Navy.

28. The layout of products according to the food supply standard No. 5 (medical rations), approved by the Resolution, as well as for dietary nutrition, is compiled by the head of the medical service of the military unit with the participation of the head of the food service (assistant ship commander) and the instructor-cook (instructor-cook, senior cook , senior cook).

When organizing dietary meals in a military unit, food is prepared according to a separate layout from products prescribed according to food supply standards, with their partial replacement:

bread made from a mixture of rye flour and 1st grade wheat flour - for bread made from 1st grade wheat flour;

mustard powder - for vegetable oil;

tomato paste - for carrots;

pickled cucumbers and tomatoes, onions - for beets and carrots;

fruit and berry juices - for dried fruits.

The issuance of bay leaves, vinegar, and pepper is excluded, and the issuance of salt for cooking is carried out based on the minimum requirement.

Enrollment in dietary nutrition is carried out by order of the commander of the military unit on the basis of the conclusion of the military medical commission (chief of the medical service of the military unit) for the period necessary for the treatment of the digestive organs of military personnel.

Food for military personnel with a deficiency of body weight (malnutrition or low nutrition) is prepared according to a separate layout of products according to the norm of their food rations, taking into account additional products. A separate cook is assigned to prepare and serve food to military personnel in need of therapeutic (dietary) nutrition, as well as those who are 190 cm or taller. They are allocated separate tables for meals.

Providing food for military personnel of other troops, military formations and bodies undergoing treatment (examination, examination) in medical military units (divisions) and institutions of the Ministry of Defense is organized at the expense of the federal budget with the subsequent implementation of centralized mutual settlements with the federal executive authorities, in which The law provides for military and law enforcement service.

29. According to the food supply standard No. 6 (cadet ration), five or six meals a day are organized in such a way that the intervals between meals do not exceed 3.5 - 4 hours.

The distribution of calorie content by meal is set: for breakfast - 25%, lunch - 30%, afternoon snack - 15%, first dinner - 25%, second dinner - 5%.

For six meals a day, a second breakfast is included.

first courses - 250 - 300 g;

meat (fish) dishes with sauce - 100 - 120 g;

side dishes - 180 - 230 g;

drinks - 150 - 200 g.

Food for the afternoon snack and second dinner can be distributed in educational (dormitory) buildings.

30. Changes to the approved food layout are made with the permission of the commander of the military unit and certified by his signature.

The food layout is compiled on Friday of the current week for the next week separately for each food ration in 3 copies (when organizing meals with the involvement of public catering establishments - in 4 copies).

When preparing the food layout, the specifics of the educational process of the military unit, the staffing of the canteen with cooks and their qualifications are taken into account, set mode food, availability and range of products, availability and condition of technological, refrigeration and non-mechanical equipment in the canteen, wishes of military personnel.

31. For the purpose of dietary diversity, compliance sanitary standards and rules, refreshing food supplies, based on the range and availability of food in the food warehouse, the availability and condition of production premises, equipment, utilities and taking into account the peculiarities of catering in stationary and field conditions (on ships and supply vessels) when organizing catering and issuing food rations on hand, the norms of replacing some products with others apply.

32. Products from the food warehouse to the canteen of the military unit for cooking are released against signature to the food preparation technology master (instructor-cook, instructor-cook, senior cook, senior cook) in the presence of the canteen duty officer for each meal upon request-invoice, written out in 2 copies on the basis of the layout of products and data from the food movement record book maintained in the military unit by an official appointed by order of the commander of the military unit. The number of people eating at meals according to the orders of the commander of the military unit is reported daily by officials of the headquarters of the military unit before issuing the demand invoice and is certified in the book of the movement of people eating with the signature of the chief of staff of the military unit or his assistant.

The second copy of the demand invoice remains with the food preparation technology master (instructor-cook, instructor-cook, senior cook, senior cook) for control, the next day it is handed over to the head of the canteen for storage and is destroyed after the calendar year.

33. Products that require lengthy cooking (salted, frozen fish, frozen meat) are issued taking into account the time required for soaking or defrosting.

The release of products from the warehouse to the canteen is carried out in clean, sealed and labeled containers specially designed for this purpose.

34. The food is placed into the cauldron by the cooks in the presence of the dining room attendant.

Before the distribution of ready-made food begins, its quality is checked by officials of the military unit.

A doctor (paramedic or sanitary instructor), together with the duty officer at the military unit, checks the quality of prepared food in the hot shop of the canteen (places of its distribution), the sanitary condition of the canteen premises, tableware and kitchen utensils. The doctor (paramedic or sanitary instructor) records the results of the inspection in the food preparation quality control book. After the conclusion of a doctor (paramedic or sanitary instructor), the food is tested by the commander of the military unit or, on his instructions, one of his deputies (assistants, heads of services).

Testing food consists of determining its taste, the weight of meat (fish) portions, cold appetizers, first, second and third courses. The results of food testing are recorded in the food preparation quality control book with ratings assigned for each dish. If a discrepancy is detected in the volume, weight of portions and dishes issued to military personnel, relative to the calculated data indicated in the food layout, the reasons for the discrepancy are identified and measures are taken to bring the required food standards to the military personnel.

At the appointed time, the duty officer at the military unit gives permission to distribute food to military personnel.

35. Meals for military personnel in canteens can be organized by the following method:

table settings;

using self-service lines with prepared food dispensed by cooks;

using self-service lines with buffet elements with the involvement of chefs only for issuing first, second courses and side dishes.

36. The preparation of the dining room for meals is carried out by persons on daily duty in the dining room under the guidance of the head of the dining room and the dining room attendant. The temperature of the prepared food at the time of its consumption by personnel should be: for first courses and tea (coffee) - not lower than +75 °C; for second courses - not lower than +65 °C; compote, jelly, fruit and berry juice, boiled cow's milk - not higher than +14 °C. Ready-made first and second courses can be kept on a steam table or warm stove for no more than 2 - 3 hours from the moment of preparation. Cold appetizers, gastronomic products, and drinks must be displayed in portioned form in a refrigerated display counter and sold within 1 hour<*>.

After checking the compliance of the number of ready-made portions and the military personnel on allowance, and receiving the served tables, the orderlies of the free shift take food and leave to change the orderlies remaining in the unit, and the units on duty meet their units in front of the canteen.

Before each meal, military personnel wash their hands in units and arrive at the canteen in cleaned clothes and shoes in formation under the command of a company sergeant major or one of the deputy platoon commanders or a unit official who controls the food intake of subordinate servicemen (hereinafter referred to as the unit commander), who ( like the unit duty officer) is in the dining room and keeps order during meals.

Upon arrival of the units at the canteen, the units on duty report to the unit commander about their readiness for meals. The unit commander, with the permission of the duty officer at the military unit, gives the command to the unit to enter the canteen.

At the command of the unit commander, servicemen sit down at the tables, food distributors begin to distribute it evenly, and servicemen begin to eat food.

The responsibilities of the table supervisor include monitoring the delivery of prepared food and other products to each person eating at the table, the order and discipline of military personnel during meals, compliance with the culture of eating, as well as the return of tableware after meals.

38. In the canteens of military units, in which meals are organized using self-service lines, military personnel, at the command of the unit commander, enter the canteen in a column one at a time, receive cutlery, trays, cold snack, first, second and third courses, as well as other products according to the food ration. After eating, remove dirty dishes yourself.

39. Eating in hats, coats (winter field suits) and special (work) clothing is not allowed.

Persons on daily duty at the canteen take food at the time established by the commander of the military unit.

A visit to the canteen of a military unit by unauthorized persons is carried out with the permission of the commander of the military unit or the person replacing him.

40. For military personnel performing various tasks and not being present at breakfast, lunch or dinner, the appropriate food consumption is left. Applications for leaving food are submitted by the senior officers of the units through the unit duty officer at the canteen, indicating the time of servicemen's appearance at the canteen.

In all cases, they are not stored for the next day.<*>:

salads, vinaigrettes, pates, jellies, jellied dishes, products with cream and other particularly perishable cold dishes (except for those whose shelf life has been extended by the state sanitary and epidemiological supervision authorities);

milk soups, cold soups, sweet soups, puree soups;

portioned boiled meat for first courses, pancakes with meat and cottage cheese, minced meat, poultry, and fish products;

sauces, omelettes;

mashed potatoes, boiled pasta;

beverages own production.

In exceptional cases, food for absent military personnel, with the permission of the doctor on duty and with a mandatory note in the food preparation quality control book, is selected before general distribution, cooled and stored in a separate sealed container in a refrigerator at a temperature of 4 °C + 2 °C no more than 6 h. Meat and fish portions are kept separately from the side dish. Before sale, chilled food is checked by a doctor (paramedic) with a note in the book on quality control of food preparation, after which it is again subjected to heat treatment and re-tasting. The period for selling food after secondary heat treatment should not exceed 1 hour. Further storage of food after repeated heat treatment is not permitted.

For personnel who are unable to arrive at the canteen before the expiration of the established food shelf life, food is not placed in the cauldron. In these cases, on the instructions of the duty officer at the military unit, food for absent military personnel is prepared separately at the time of their arrival at the canteen.

41. On ships, ready-made food before its distribution begins is tested by the doctor, the ship's duty officer and the ship's commander or, on his instructions, one of his deputies (assistants). The results of food testing are recorded in a food preparation quality control book, and on submarines and ships that do not have their own households, in a delivery note.

Permission to distribute food to personnel at the direction of the ship's commander is given by the ship's duty officer (while underway - the watch officer).

Sailors and foremen take food in the ship's canteen, and in its absence, in the cockpits or on the upper deck.

Officers, midshipmen, chief petty officers and chief petty officers take food in the wardrooms.

42. Military personnel whose military service involves performing work with fuel containing toxic components, with special substances and special ammunition, under conditions of exposure to ionizing radiation on the body, are provided with food according to food supply standards N 1 (combined arms rations) or N 3 (sea rations) , approved by the Resolution, taking into account additional products (in this case, military personnel from among officers and warrant officers are enrolled in food supply only on the days of performing the specified work).

Civilian personnel engaged in work with hazardous working conditions are provided with milk or other equivalent food products<*>.

<*>Orders of the Ministry of Health and Social Development of the Russian Federation dated February 16, 2009 N 45n “On approval of the standards and conditions for the free issuance of milk or other equivalent food products to employees engaged in work with hazardous working conditions, the Procedure for the implementation compensation payment in an amount equivalent to the cost of milk or other equivalent food products, and the List of harmful production factors, under the influence of which for preventive purposes consumption of milk or other equivalent food products is recommended" (registered with the Ministry of Justice of the Russian Federation on April 20, 2009, registration N 13795), N 46n "On approval of the List of industries, professions and positions in which work gives the right to free receipt therapeutic and preventive nutrition in connection with particularly harmful working conditions, rations of therapeutic and preventive nutrition, standards for free distribution vitamin preparations and Rules for the free issuance of therapeutic and preventive food" (registered with the Ministry of Justice of the Russian Federation on April 20, 2009, registration N 13796). Rations of therapeutic and preventive food No. 2 are provided with coupons to military personnel and civilian personnel engaged in performing and ensuring work with pathogens especially dangerous and dangerous infectious diseases and toxins.

Military personnel whose military service involves performing work with hazardous working conditions, on the days they actually perform this work (if they do not receive treatment and prophylactic or special food according to other standards) are provided with food according to food supply standards No. 1 (combined arms rations) or No. 3 (sea rations), approved by the Resolution, with the provision of an additional 0.5 liters of cow's milk.

The list of positions and types of work with hazardous working conditions that give military personnel the right to receive free food is established by the (food) department in agreement with the Main Military Medical Directorate<*>.

<*>Subparagraph "e" of paragraph 3 of the notes to norm No. 1 (combined arms rations), approved by Decree of the Government of the Russian Federation of December 29, 2007 No. 946 "On food provision for military personnel and certain other categories of persons, as well as on the provision of food (products) for staff animals military units and organizations in peacetime" (Collected Legislation of the Russian Federation, 2008, No. 2, Art. 80, No. 50, Art. 5959; 2009, No. 34, Art. 4202).

43. Features of catering individual categories military personnel in different conditions combat training activities, including with the involvement of public catering establishments, are established by the (food) department in agreement with the Main Military Medical Directorate.

IN THE FIELD

FOR FOOD FOR THE TROOPS

AND CONDUCTING SANITARY SUPERVISION

ORGANIZATION BASICS

The uninterrupted supply of personnel with high-quality food and food preparation is carried out by the food service. Monitoring the adequacy of nutrition, compliance with sanitary rules at all food service facilities, as well as monitoring the health status of persons working at these facilities is carried out by the military medical service.

The concept of rational nutrition and the principles of its organization. For military personnel, it is rational to


Rice. 15. Principles of rational nutrition for Soviet personnel

A diet is created in which the qualitative and quantitative ratio of substances in the food taken and its distribution among meals during the day correspond to the needs of the body and ensure the high combat effectiveness of the soldier and officer. The food ration, or ration, of a military personnel must provide the body with energy material and nutrients necessary for normal functioning, and consist of a set of food products that allow you to quickly prepare a large amount of varied and tasty food with minimal risk of contamination or infection (Fig. 15 ).

Meals for military personnel are public in nature, food supply is centralized and is carried out according to established ration standards. In addition, the nutrition of military personnel is characterized by two more features: cooking according to food layouts and constant monitoring by the command and medical service.

There are boiler allowance rations, dry rations and additional ones. Boiler allowance rations are intended for preparing hot food


both during barracks and field deployment. Dry army rations are completed using concentrates and canned food. They are intended for food in conditions where cooking hot food in the kitchen is excluded. The high-altitude ration contains dry alcohol tablets intended for heating canned food and making tea.

Boiler allowance rations and dry rations fully compensate for the energy costs of military personnel. As numerous studies carried out at different times by domestic scientists have shown, in peacetime the energy consumption of military specialists is generally 3500-4500 kcal. Accordingly, army rations were compiled.

The exchange of energy in a real combat situation has not yet been studied. According to some reports, energy consumption during combat exercises amounts to 5,700 kcal. At the same time, it was found that a person can tolerate a significant calorie deficit - up to 2500 kcal, while maintaining combat effectiveness, if the water supply is adequate to working conditions and homeostasis is not disturbed.


Additional rations exist for military personnel of the airborne troops, for those who are content with high-altitude rations and serving in areas at an altitude of 3000 m and above sea level; for crews of jet, turbojet and turboprop aircraft, for officers, divers and other specialists. They compensate for either the adverse effects of harmful factors in working conditions or increased energy costs.

A military unit may have the following allowance standards. For privates and sergeants there is one, for example, the basic soldier standard, and one standard for officers. Patients being treated in the unit's infirmary are fed according to the hospital norm. Food for them is prepared in the kitchen of the regimental medical center or in the soldier's kitchen.

In addition, for those suffering from chronic gastrointestinal diseases, gentle nutrition (dietary) is organized, in which kitchen fats are replaced with butter; barley, pearl barley and some other cereals - rice, buckwheat or semolina; rye bread - wheat. Dietary nutrition depending on health status


prescribed for a period of up to 3 months. Responsibility for organizing dietary nutrition and nutrition in military hospitals according to hospital standards rests with the head of the medical service. The layout of products according to hospital norms and dietary nutrition, compiled with the participation of the head of food supply or a cook-instructor, is approved by the unit commander.

For persons working in conditions of contact with toxic substances or exposure to harmful physical factors, there is additional therapeutic and preventive nutrition, which is provided through canteens.

The diet for military personnel is as follows. In military units, with boiler allowance, hot food is given 3 times a day - for breakfast, lunch and dinner, and tea 2 times - in the morning and in the evening. Breakfast is provided before the start of classes, lunch - after the end of main classes, dinner - 2-3 hours before lights out. The intervals between meals should not exceed 7 hours. Meal hours are determined by the daily routine approved by the unit commander. The daily allowance for three meals a day is distributed according to calorie content as follows: for breakfast - 30-35%, for lunch - 40-45% and for dinner - 20-30%. The diet is set by the unit commander depending on specific conditions - the nature of combat training or the characteristics of the combat situation - taking into account the recommendations of the doctor and the deputy for the rear.

Responsibilities of officials. The Charter of the Internal Service of the Armed Forces of the USSR obliges commanders of all levels to take care of preserving and strengthening the health of their subordinates and their material and living support. The deputy regiment commander for political affairs is obliged to take care of the nutrition of soldiers and officers. The deputy regiment commander for logistics, to whom the food supply service is subordinate, is obliged to organize high-quality nutrition for personnel and ensure that the required types of food are delivered to each serviceman.

Directly supervises the work of kitchens and canteens, food warehouses, bakeries, glaciers, utility and kitchen facilities.


Head of food supply unit. He is obliged to organize the delivery and proper storage of food, ensure the correct preparation of hot food and bring the required rations to soldiers, sergeants and officers; together with the head of the regiment's medical service, draw up a food layout, at least once a month personally conduct test cooking of food with the cooks and check the quality of food in the regiment's warehouses.

The head of the regiment's medical service is obliged to participate in the development of a diet, carry out systematic medical control over its organization and quality, monitor the sanitary condition of economic services and submit to the regiment commander reports on soldiers, sergeants and officers in need of dietary nutrition.

The medical service of a military unit, carrying out current sanitary supervision in the field of nutrition, is guided by the relevant general and special regulatory documents on nutrition issues. A military doctor needs, in addition to the regulatory documents for the medical service, to have a good knowledge of all the documents defining the standards of food rations, the procedure for receiving, storing and issuing them, the standards for replacing one product with another, the types and purposes of technical means of the food service. The doctor of the military unit must have a firm knowledge of the responsibilities of the officials responsible for organizing nutrition.

Nutritional deficiencies are most often associated with low qualifications of food facility personnel. Therefore, the doctor should not only demand from the head of the food service to carry out work to improve the qualifications of staff - cooking classes with chefs, sending cooks to catering establishments, organizing the exchange of experience, but also conduct classes with food (and medical) service personnel on various issues. food hygiene for military personnel, explain the importance of complying with hygiene requirements for the prevention of food poisoning and food preparation.

Persons who disregard the doctor’s instructions should be subject to administrative sanctions or


public condemnation. Such measures may also be applied to them, such as, for example, depriving cooks of salary bonuses given for good food preparation and excellent kitchen maintenance based on the doctor’s notes in the food quality assessment book. The unit doctor also participates in assigning qualification ranks to cooks, on which wages depend.

Great help Party and Komsomol organizations can help doctors improve nutrition. Political workers always energetically support measures aimed at improving nutrition, understanding that nutrition, while satisfying physiological needs, has a very strong impact on the well-being and morale of a soldier.

By exercising control over nutrition, the doctor ultimately relies on the authority and power of the commander. Therefore, it is necessary to systematically broaden the horizons of the unit commander, as well as the political and logistical deputies in matters of nutrition. The most convenient way to do this is during the next report on the state of nutrition in the area.