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How safe is the practice of packing school lunch box foods that may be out of temperature control for extended periods?

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How safe is the practice of packing school lunch box foods that may be out of temperature control for extended periods?

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There is no evidence that preparing lunches in the morning for school or work and leaving them unrefrigerated till lunchtime is causing any problems. This demonstrates the conservative nature of the 4 hour rule. People who are nonetheless concerned about the risk can place frozen water or drink containers into the lunch box to help maintain the temperature.

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