Don Sapatkin of the Philadelphia Inquirer has been writing for at least a year about deficiencies in the antiquated Philly system and that even with improvements in inspections, most food establishments don't publicize even their most positive inspection reports, and no government in the Philadelphia region requires that they be tacked up for easy viewing like a menu.

Last week, Sapatkin turned his investigative focus to Philadelphia’s hospital kitchens, and found they were far more likely than food establishments as a whole to be out of compliance with food-safety regulations, averaging six violations apiece in their most recent quarterly inspections by the city health department.

The Hospital of the University of Pennsylvania, routinely named among the nation's best medical centers, was cited 14 times. The largely organic kitchen at Cancer Treatment Centers of America's Eastern Regional Medical Center in the Northeast had eight violations.

And in New Jersey, Virtua Memorial Hospital in Mount Holly was rated "conditional satisfactory" after inspections in November and last month found several violations.

"Many live German cockroaches observed on or at base of wall in dish-washing room, dead roaches observed under shelving in paper storage, next to ice machine, and behind refrigerator in vegetable prep area," a Burlington County health department inspector wrote June 28.

All three hospitals said the violations had been quickly corrected.

Food generally isn't considered when patients choose a hospital. Yet a review of inspection reports from around the region found scores of violations, as well as wide variations in what was cited from county to county. Some evidence suggests that the scrutiny is more rigorous in the city.

Inspections are a far-from-perfect measure of risk: Inspectors found nothing amiss before or after an outbreak sickened 54 people and killed three patients at a Louisiana state hospital in May. And experts say most hospital kitchens go overboard with food safety, cooking so thoroughly to kill microbes that flavors may be lost.

Sheri Morris, food program manager at the Pennsylvania Department of Agriculture, which regulates restaurants and stores but not hospitals, said,

"Anybody who has a compromised immune system is going to be more susceptible to food-borne illness. And hospitals are full of people with compromised immune systems.”

Since inspections are a snapshot of a constantly changing kitchen, they have limited ability to predict either safety or danger. "Just because you went in there and the place had no violations doesn't mean that 15 minutes later the place didn't go to pot," said Dennis J. Bauer, food-safety coordinator for the Bucks County Health Department.

A west London restaurant owner was criticized for an "appalling catalogue of offences" after health inspectors saw a mouse jumping from a bowl of sweet and sour sauce in the kitchen.

Press Association reports that inspectors visiting the Kam Tong, Hung Tao and Kiasu restaurants in Queensway, Bayswater, found mouse droppings all over the kitchens and cockroach eggs in the dim sum and baskets of prawn crackers.

One rodent was photographed scampering along a kitchen drainpipe in the Kam Tong restaurant after jumping from a bowl of sweet and sour sauce which was about to be served to customers.

Owner Ronald Lim, of Barnet, north London, admitted 17 counts of breaching food hygiene regulations at Southwark Crown Court.

Judge Geoffrey Rivlin QC ordered him to pay fines totaling £30,000, plus £18,131 costs, and handed him an eight-month jail term suspended for two years.

AOL Travel reported on how those airplane flights that still serve food actually go about preparing the food (especially after the lousy inspection reviews compiled by USA Today).

AOL decided to track a single airline meal, from the time it is planned and placed on an airline's menu to the moment it arrives at the passenger's seat.

Or, given the bad press for Gate Gourmet and their bad food safety inspections, the story was a standard PR placement. But some elements of interest:

6 p.m. The passenger confirms her seat assignment – 31A – for tomorrow's flight from Chicago to London. She doesn't know it, but her meal choice is getting ready for takeoff, too.

She's going to select grilled chicken breast with orange sesame ginger sauce, served with jasmine white rice and a side of broccoli and carrots. It's taken a year of development for this dish to make it to the United menu, with three teams of 35 people considering menu items, procuring ingredients, testing and tasting food, and monitoring the quality of the product to the passenger.

Dishes for United's Flight 958, which departs in 18 hours, are getting washed at Gate Gourmet catering, right on O'Hare property. In a green effort to conserve resources and reduce waste, United doesn't have a lot of disposable products, according to Stuart Benzal, United's managing director of onboard global product. Instead, bowls, plates, cups and other utensils are hauled off the aircraft after each flight and sent to one of the 52 kitchens that United uses around the world.

Most kitchens operate 24 hours. "After 10 at night, it goes into equipment processing (mode)" says Benzal, which means cleaning hundreds of plates, bowls, cups, saucers, trays and utensils for the next day.

2 a.m. Alison Hough, director of product planning, planned and ordered chicken for this meal months ago. She knows, based on customer preferences and numbers, how many chickens to order and send to the caterers. Her team ensures that there is fresh, quality product for all the major components of the meal, while smaller detail items like seasonings are covered by the catering kitchen.

5:30 a.m. Chef Danielle Nahal and her team of eight to 12 cooks and food handlers, arrive at Gate Gourmet to begin the day's preparations. The kitchen will be making lots of meals today for flights to London, Asia, Amsterdam and Paris, so the prep work covers 250-300 servings of each entrée. Though the kitchen is very large, it is also very busy and crowded. Nearly 300 people work on a shift, and the kitchen runs 24 hours a day, seven days a week.

It's very cold in the kitchens to ensure food safety and food integrity. "You can't just walk into a kitchen," Benzal says. "You fill out a health form, go to a wash station and wash your hands, use disinfectant, wear a lab coat; your hair and head are covered. There's even a face mask," he says. "You look more like a surgeon than someone preparing to chop salads." This chilled environment is maintained throughout the production.

6.00 a.m. Twelve hours before flight time, United delivers the final counts and order for meals, including the chicken with orange sesame glaze. Gate Gourmet accepts the order and begins processing to the count specifications. "We're producing in very large batches," says Chef Nahal. "Sauces are made by the gallon. Vegetables are done by the pound – about 500 pounds [for one day's meal preparation]."

Executive Chef Gerry Gulli started testing the flavors and sauces for his mandarin chicken nearly a year ago. Since United likes to change out the menus every three months, and needs to have at least two economy meal choices per flight, Chef Gulli is a busy guy. The chefs must also adjust recipes for the diminished taste buds people experience while in flight. "We compensate for that with cooking techniques, using bold flavors and marinades," says Chef Nahal.

9:00 a.m. The grilled chicken breast with orange sesame ginger glaze is being prepared according to recipe instructions. Color photos guide the preparers, so they know exactly how the plate should appear before it arrives at seat 31A.

11.00 a.m. The plated meal for the passenger in 31A, along with nearly 250 other entrées, gets loaded onto trays. Trays are inserted into trolleys, where they sit in a blast chiller until called for delivery to the aircraft.

2:30 p.m. The truck for Flight 958 delivers the meals for the flight, including the chicken with orange sesame glaze destined for seat 31A today. Each high-loader truck takes a trolley of trays, and the driver puts them onto the aircraft. The meals fit into a refrigerated compartment. It will take the driver about 30 minutes to get to the aircraft, then another 45 minutes to an hour to load the meals onto the plane.

6:00 p.m. Flight 958 takes off, bound for London. Flight attendants take economy class meal orders from the three selections: mandarin chicken, a pasta dish, and a beef meal. The passenger in seat 31A chooses the chicken with orange sesame sauce.

7:00 p.m. Flight attendants are busy heating the fully cooked but cold meals in a convection oven. The convection oven circulates the hot air and ensures meals are heated evenly and at the same temperature. It takes about 20 minutes to bring them to dining temperature, and then they are loaded onto carts to head down the aisle.

8:00 p.m. The orange chicken with sesame ginger glaze arrives at seat 31A, hot, colorful, and prepared to Chef Gulli's specifications.

The TV chef who Gordon Ramsey once called a Teletubby, Antony Worrall Thompson, blames bureaucrats for the one-star-out-of-five for hygiene at his Oxfordshire gastro pub.

Worrall Thompson said failing to fill out "bits of paper" led to the low score at The Greyhound, in Henley-on-Thames.

Worrall Thompson admitted food had been found beneath his fridge and oven during the inspection, but that people would need to be on their "hands and knees with a torch" to find it, adding,

"All [the public] want to know is if they're going to be poisoned. The public don't care if the paperwork isn't done. It's treating everyone as if they haven't got a brain. It's got absurd, the amount of paperwork you have to do. There's this inbuilt hatred between Environmental Health Officers and chefs. We should be working together."

Council cabinet member for health, Dorothy Brown, said,

"Mr Worrall Thompson is mistaken that our Scores on the Doors scheme is overly bureaucratic and driven by paperwork, when it is in fact driven by the need to improve food hygiene standards.”

Worrall Thompson has shown up in barfblog.com before. He was a signatory to a open letter calling on the British public to ask where their food comes from (from under the fridge?), he published a recipe in Healthy & Organic Living that included a toxic plant as an ingredient, and has run afoul of public health types for using paving stones as a kitchen counter at a public BBQ.