Gluten Cross Contact

Gluten-Free Communion Guide

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The purpose of this guide is to give you the necessary tools to safely make, prepare, and distribute gluten-free hosts to your gluten-free members.

Attention to detail is critical for success in the gluten-free lifestyle. It is not surprising considering lives are turned upside-down by something measured in parts per million [yes, parts per million].

Please keep an open mind about the information presented here. It can be hard to comprehend that "The Staff of Life" can make someone sick. Science proves it to be true for about 3 million with celiac disease and an estimated 17 million with gluten sensitivities; just in the USA alone.

In this guide, you'll find information on gluten, how to eliminate gluten cross-contact, several recipes for gluten-free hosts, and links to commercially available gluten-free hosts.

If you have questions or desire additional help in instituting a gluten-free communion in your house of worship, please reach out to us.

Alan & Peggy Klapperich
Gluten Intolerance Group of East Central Wisconsin
GIG.EastCentralWisconsin@gluten.org
Phone: 920-748-4877


If you are looking for just the recipe: click here.


Links to Download GF Communion Guide PDF


GFCGHiResIcon-01GFCGLoResIcon-01



GFCommGuide-2021






04/11/21 - Updated Guide to Gluten Cross Contact Guide
3/21/19 - Updated for 2019 Synod Assembly


Guide to Gluten Cross-Contact


Separate-Cutting-Boards


Basic kitchen safety rules tell us that we need to separate ready-to-eat foods from raw meats, poultry, seafood, and eggs - and to use separate cutting boards and utensils to reduce the risk of food poisoning.

The same rules apply to gluten and gluten-free foods - they must be kept apart.

Even though a recipe may use gluten-free ingredients, the food must be appropriately prepared, so it remains gluten-free. If you are making meals for a gluten-free guest, you must be mindful of gluten cross-contact.

This guide will help you to understand and prevent gluten cross-contact.

Cross-Contact and Cross-Contamination
Aren’t they the same thing?

We often use the term “gluten cross-contamination” when speaking with foodservice professionals about the preparation and handling of our gluten-free foods.

Cross-contact and cross-contamination appear to mean the same thing, but there is a subtle difference according to the FDA. Cross-contamination is a commonly used term for allergens. However,
allergenic proteins are a normal component of food and not considered a contaminant. Based upon this definition, the agency began differentiating the conditions two years after the Food Safety Modernization Act (FSMA) of 2011 became law.

Let's explore the differences a bit more.

Cross-contamination happens when
biological contaminates (bacteria or viruses) transfer from one food (or surface) to another.

Example: using the same cutting board & utensils for raw meats and ready to eat ingredients). Killing bacteria by heating the food to a recommended temperature makes the food safe to eat. Of course, we know this is not possible for gluten (or any allergenic proteins), however using improper terminology will give the wrong impression to a foodservice professional.

Cross-contact happens when
allergenic proteins transfer from one food (or surface) to another.

Example: using the same cutting board to cut gluten and gluten-free bread. While we expect our food to be biologically contaminate-free, cross-contact is what we're concerned about with gluten.

Using the appropriate terminology with foodservice professionals will clearly and accurately describe our needs.

"Avoiding Cross-Contact"
Food Allergy Research & Education (FARE).
http://bit.ly/FARE-avoid-cc


Updated: April 1, 2021



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The Basics


Before you start you need to know a few basics.

What is gluten?

Gluten is the generic term for the proteins found in grains. The proteins found in wheat, barley, rye and commercial/mainstream oats (think Quaker Oats) are not acceptable for those following a gluten-free diet. Commercial or mainstream oats contain gluten due to how they're grown, harvested, transported and processed. Certified gluten-free oats are acceptable for some celiacs.


Where is gluten found?

Just about everywhere! Bread, pizza, cake, cookies, crackers, pasta, cereal, soups, sauces, beer - just to name a few foods. Many processed foods contain gluten in some form or another. It's very prevalent in the Standard American Diet.


What does gluten do?

Gluten provides the structure, the framework – it holds everything together. It gives that chewy texture that is desirable in many foods like bread & pizzas. It also makes a lot of people sick.



How much?


How much arsenic would you like in your food? Very good, I thought you'd say zero.

Not only must the food be gluten-free, but it also must not come in contact with any gluten.

The concept of
“a crumb will hurt you” is hard for people to understand because it involves minuscule amounts.

How small? A multicenter, double-blind, placebo-controlled, randomized study has shown that up to 10 milligrams of gluten per day is considered to be safe amount. Yes, per DAY. (10mg = 1/8th of a teaspoon of flour, or 18 slices of gluten-free bread). Yes, crumbs matter!

10mggluten
What does 10mg of gluten look like?

Tricia Thompson, MS, RD of Gluten-Free Watchdog answers this question.

She breaks it all down for us starting with a one ounce (3,515 mg) slice of gluten bread.

http://bit.ly/GFWD-10MG

Special thanks to Tricia for allowing me to use her pictures to draw this diagram to show the relative size.

Mind blown? There's more...

Many cannot consume even 10 mg of gluten without getting sick.


Where to find it and what to do about it


  • Condiments (spreadable) – jars of peanut butter, mayo, butter, margarine, jelly, etc. These containers are large gluten magnets due to "Double Dipping."

  • Purchase and use new products. Dispose of contaminated products or clearly label as not gluten-free.

    Double dipping is strictly prohibited. Master the fine art of “Gob Dropping” or using a couple of spoons & knives to accomplish the task.

    Purchase squeezable containers when possible.


  • Any foods like flours, starches, white or brown sugars, etc. that frequently use shared utensils with gluten.


  • Do not re-use a measuring cup after it contains gluten flour/ingredient. Thoroughly wash it, or use a clean one.

    Same goes for stirring and serving. Always use a clean utensil for gluten-free foods.

    Have dedicated utensils for only GF use.

    Purchase and use new products. Dispose of contaminated products or clearly label as not gluten-free.


  • Brown sugar has another risk factor. Some people will put a piece of bread in their container to keep the sugar soft. Breadcrumbs contaminate the sugar.


  • Purchase and use new products. Dispose of contaminated products or clearly label as not gluten-free.


  • Deep fry oil or pasta water.


  • Do not deep fry gluten-free foods in oil that previously fried gluten-full foods. Use fresh oil, or fry GF foods in fresh oil before frying gluten-full foods.

    Do not boil gluten-free pasta in water that previously cooked gluten-full pasta. Use fresh water for GF pasta.


  • Silverware drawers – take a look in there – lots of crumbs!


  • Clean out the entire drawer and re-wash the utensils. Do the same for any other drawers too.


  • Kitchen surfaces – whenever preparing gluten-free food, make sure work areas, and hands are clean and free of crumbs.


  • Dry wipe the crumbs first with a paper towel. Use hot soapy water to wash then rinse with fresh, clean water. Bleach will not do anything to gluten to make it safe.

    It's best to designate a gluten-zero prep area where no gluten is allowed.


  • Toasters - if you’ve ever toasted gluten products in it, there is no way to clean it effectively.


  • Do not use a toaster that has contained gluten. Purchase a new one.

    Toaster bags are an option.

    Toaster Ovens with Fixed racks – line with foil. Works well for heating, baking, but not good for toasting.

    Toaster Ovens with Removable racks – purchase and mark new rack for GF use. Foil existing rack or clean.


  • Ovens and Convection Ovens (they circulate the air inside the oven to shorten cooking times).


  • If you can not bake gluten-free items separately from gluten items, always place gluten-free items on the top rack - above gluten items.

    Either turn off the convection feature (circulated air) or make sure you have a tight-fitting lid on your gluten-free dish.


  • Cake pans – these pans typically have a lot of very deep cuts/grooves in them.


  • Purchase new or use disposable aluminum cake pans. Gluten can get stuck in deep cuts.


  • Cookie sheets


  • Line with parchment paper when baking GF cookies.

    Have dedicated GF cookie sheets.


  • Any utensil, pot, pan, dish, etc. that has come in contact with gluten. They must be clean before gluten-free use.


  • Do not reuse these items for gluten-free foods without thoroughly washing them or grabbing a clean one. For example: Don't use the gluten pasta salad spoon to serve the gluten-free pasta salad.

    Those living in a mixed house should have dedicated gluten-free utensils, cutting boards, colanders, etc. It helps to have them color coded. Consider using the color red for gluten-free.


  • Colanders/Strainers/Flour Sifters – Pasta/gluten often get stuck in the small little holes and slits, thoroughly cleaning them is a nightmare; if not impossible.

  • Wooden utensils/boards/rolling pins – Porous items can harbor gluten.

  • Cutting boards [plastic or wood] – due to the deep cuts and grooves, it’s best to get a new one.


  • Purchase new colanders, flour sifters, wooden items, cutting boards.


  • Non-stick pots & pans


  • Replace if there are any cuts or scratches on the surface, do not use it, gluten can get caught. As long as it can be well cleaned, it should not be a problem.


  • Cast iron skillets – the “seasoning” develops from years of use.


  • Replace. Some people re-seasoned their old skillets by heating them to 600-700 degrees for 30 minutes to burn off any residue.


  • Ceramic bake or cookware (Pizza Stone) – it's porous..


  • Foil it or purchase new. Cleaning porous items is difficult.


  • Dishtowels/sponges/dishrags


  • Use paper towels to make the first pass on clean up. Then use clean/unused items to finish cleaning.

    Due to the holes in sponges, dedicate one to gluten-free.

    Change them often.


  • Grill grates


  • Cleaning them may be a messy job. It might be time to replace the grates.

    If cleaning or replacing isn’t an option - grill gluten-free items on aluminum foil.


  • Shared bowls or bags of your favorite GF snack food. Shared dips & sauces. They are crumb magnets.


  • Snacks must be poured out into an individual bowl before any cross-contact.

    Have a marked & dedicated gluten-free chip dip bowl.


  • Family-style or Buffet-style service - A gluten-free nightmare! Inevitably someone will grab a spoon from the pasta salad bowl for the gluten-free coleslaw.


  • If 100% gluten-free buffet-style isn’t possible, separate gluten-free foods from the gluten-full foods. Color-coded containers & utensils help lessen the cross-contact risks. Have a “Gluten-Free” sign posted.

    If no room for separate gluten-free/gluten-full foods, hold back some of the gluten-free foods before they are placed out for service. Tell your gluten-free guest where to find these items.

    Invite gluten-free guests to go through the line first - before any of the gluten-free dishes have a chance to get contaminated.


  • TV Remotes, Phones, Keyboards, Mice...anything that has been touched by glutened hands.


  • If you have touched gluten - wash your hands before touching anything else.

    Clean these items the best you possibly can - it's tough.


  • More Cross-Contact Information


  • “The Tools to Replace in Your Gluten-Free Kitchen”
    Gluten Intolerance Group of North America
    https://fal.cn/3erh8 (PDF)

    “Producing Gluten-Free Products in a Non-dedicated Kitchen”
    Gluten Intolerance Group of North America
    http://bit.ly/2Wii9ea (PDF)

    “7 Tips for Avoiding Gluten Cross-Contact at Home”
    Gluten Intolerance Group of North America
    https://bit.ly/2SpCttO (PDF)


    “Preventing Cross-Contact at Home”
    EatRight.org - Academy of Nutrition and Dietetics

    https://tinyurl.com/yxu9yaca


    “A Day in the Life: Living in a Mixed House”
    Gluten Intolerance Group of East Central Wisconsin
    http://bit.ly/GIGECW_MixedHouse


    “Gluten-Free Diet Boot Camp”
    Gluten Intolerance Group of East Central Wisconsin
    http://bit.ly/GIGECW_GFBootCamp


    “Educating Family and Friends about Gluten-Free”
    Gluten Intolerance Group of East Central Wisconsin
    http://bit.ly/GIGECW_EducatingFamilyFriends


Can you destroy gluten by heat?


A study appearing at the International Celiac Symposium 2017 India, shows it's quite difficult to destroy gluten with temperatures used in customary cooking methods. And when it is destroyed [requires temperatures in excess of 392F for extended period of time], it's not safe to eat [not that gluten is safe to eat in its un-carbonized state...]

Read more: http://bit.ly/GIGECW-Heat-Destruction



Gluten-Free Foods and Shared Fryers


GFWDLogo

On September 14th, 2020, Gluten-Free Watchdog presented their first-of-kind study to the Association of Official Analytical Collaboration (AOAC) International. This study measured the amounts of gluten found in gluten-free foods when cooked in fryers that previously fried gluten-containing foods.

Like the study above, Gluten-Free Watchdog shows that gluten cross contact in shared fryers is problematic for individuals with gluten-related disorders.

“Gluten-free foods cooked in shared fryers with wheat: A pilot study assessing gluten cross contact.”

Introduction

Dietitians have long been discouraging consumers with celiac disease (CD) from ordering gluten-free foods cooked in shared fryers at restaurants.

This recommendation is based on presumed gluten exposure versus evidence-based research that gluten cross contact occurs. To the best of the authors’ knowledge there is no published data on gluten levels of gluten-free foods after cooking in shared fryers.

The lack of evidence of cross contact contributes to confusion among consumers, especially when gluten-free foods cooked in shared fryers (e.g., fries) are marked as gluten-free on some restaurant menus.

The purpose of the present study is to help inform consumer recommendations by assessing gluten levels of fries free of gluten-containing ingredients cooked in shared fryers with wheat.

Results

The sandwich R5 ELISA found quantifiable levels of gluten in 9 of 20 (45%) orders of fries ranging from 7 to > 84 parts per million (ppm)(above the highest standard) (Table 1).

Five orders (25%) of fries tested above 20 ppm of gluten.

Fries from 6 of the 10 (60%) restaurants were found to contain quantifiable levels of gluten in at least 1 of the 2 orders, with fries from 4 of these 6 restaurants found to contain levels above 20 ppm of gluten in at least 1 of the 2 orders.

The competitive R5 ELISA found gluten in 3 of the 20 (15%) orders of fries ranging from 14 to > 283 ppm gluten (above the highest standard).

Summary

Results of this assessment suggest that gluten cross contact may occur when gluten free foods are cooked in shared fryers with wheat. While a much larger study may be warranted, it remains prudent to advise consumers with CD to avoid foods cooked in shared fryers.

It is impossible for a consumer to know how much gluten is in fryer oil and how much gluten may end up in an order of fries. Shared holding trays, scoops, and fryer baskets also are sources of potential cross contact.

The gluten levels reported in this investigation are likely underestimates due to the limitations of the analytical methods available for gluten analysis of foods heated to high temperatures


For more information (including PowerPoint presentation, video, and white paper):
http://bit.ly/GFWD-French-Fry-Study

Frontiers in Nutrition - March 23rd, 2021:
https://bit.ly/3ubwIB5
Authors: Tricia Thompson, MS, RD, Trisha B. Lyons, RDN, LD, Amy Keller, MS, RD, LD, Nancee Jaffe, MS, RDN, and Luke Emerson-Mason, MS.

Additional Hints & Tips


Store gluten-free foods on the top shelf of pantry or fridge. Gluten will not fall into gluten-free food.

Store GF items in well marked, sealed containers.

Do not purchase food from bulk food bins. Highly contaminated.

Purchase only GF Certified grains & flours. Including oats - no commercial oats (think Quaker Oats).

Flour particles can remain airborne for up to 24 hours. Only prepare gluten-free foods after a thorough cleaning and before gluten foods.


Research


The Amount of Accidental Gluten Consumption

A group of researchers from Immunogenx and Biomedal/Glutenostics recently published the results of their study - quantifying the amount of gluten being consumed by a selected group of patients with celiac disease. Indeed this was a first-of-its-kind, ground-breaking study. [See below for link to the actual study]

What did the study find?

People with celiac disease are inadvertently consuming more gluten than they realized.

Keep in mind, medical experts recommend gluten consumption be kept below 10 mg per day.

Participants were (on average) consuming between 15 and 40 times the recommended limit. 244 mg is approx. 8.5 grains of rice.

While these numbers might explain why an estimated 30% to 70% of celiac patients still experience celiac-related symptoms while following a gluten-free diet, it raises many more questions.

How much gluten is coming from cross-contact?





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Updated:
04/01/21 - Add GIG Tools to Replace & 7 Tips to Avoiding CC at Home links
10/2/20 - Add EatRight.org link.
09/27/20 - Add Gluten-Free Watchdog’s French Fry Study
10/23/19 - Add Gluten-Free Watchdog
“What Does 10mg of Gluten Look Like?” link and update links
01/13/19 - Add GIG’s Cross-Contamination PDF
05/02/18 - Add Accidental Gluten Consumption Study & grammar clean up
01/28/18 - Added Gluten and the destruction by heat info
04/22/17 - Removed bad link.
04/29/15 - Added "A Day in the Life: Living in a Mixed House".
04/22/15 - Updated GIG links and updated Printer Friendly version.
01/31/15 - Added AllThingsGF.com Cross Contamination page link
06/21/14 - Add convection oven
12/27/13 - Fix broken links
10/20/2013 - Clarify terminology


Quarter Image by OpenClipart-Vectors from Pixabay