Restaurant Inspection

  • Posted: February 10th, 2012 - 12:52pm by Doug Powell

    In a triumph of food porn over food safety, an investigation into an outbreak of salmonellosis in the summer of 2010 after a wedding party in Bavaria, Germany that sickened at least 52 people failed to pinpoint a specific food source but did uncover a number of disturbing food safety practices – such as adding rose petals to food and no temperature checks -- again linked to an unlicensed caterer.

    German researchers report in Eurosurveillance this week that in the summer of 2010, a local health office in northern Bavaria, Germany, was informed that approximately half of the 110 guests of a wedding that had taken place the preceding weekend had contracted gastroenteritis. At the wedding party, soup and a late-lunch buffet (served from 3 p.m.) and a cold dinner buffet (served from 10 p.m.) had been provided by an out-of-town caterer. In addition, a wedding cake made by a local bakery and a number of cakes and desserts contributed by different wedding guests were served by the catering staff at 20.00. The food served at the wedding was suspected to be the source of the outbreak. Initial laboratory results of stool samples of some guests who became ill indicated Salmonella enterica subsp. enterica serovar Enteritidis (S. Enteritidis) as the causative pathogen.

    According to the caterer, only the meat dishes were prepared at the caterer’s facilities in advance. All sauces, antipasti and salads were made from commercially produced ingredients and were prepared at the wedding party venue. Food items that required cooling were transported in cooling boxes and stored in cooling units at the venue. At the venue, the lunch buffet was set up for six hours, between 2 p.m. (the buffet was set up one hour before it was available to guests) and 8 p.m. No checks were carried out of holding temperatures of the warm or cold dishes. Salads and other cold dishes were not cooled during this period. Photographs of the buffet showed that a number of the cold dishes were decorated with non-edible flowers (such as roses), which were inserted into the food. The flowers had been purchased at a wholesale retailer. Cakes supplied by a number of wedding guests were stored without cooling until they were served at 20:00. The dishes of the dinner buffet were not cooled. They were first served at 10 p.m. It is unclear for how long the dishes of the dinner buffet were served; however, it is known that the catering personnel departed at 00.30.

    Inspection of the catering facilities and interview of the catering staff revealed a number of shortcomings contravening European food hygiene regulations. The facilities used by the caterer were not registered with the local authorities. There were no records of the required staff training on food hygiene. No temperature controls of cooling devices or transport boxes were carried out, nor were temperatures monitored during preparation or serving of warm dishes. There were no records of HACCP concept planning or implementation. The company was banned from catering until proof of changes in their practices had been provided to the local authorities.

    The cohort study showed that a variety of dishes were associated with a significantly increased risk of infection: in particular consumption of a group of lunch dishes containing mayonnaise was associated with a high relative risk. Despite the constraint of a two-week delay between the wedding party and the questionnaires being sent out, participants appeared to recollect well which dishes they had consumed.

    The isolation of S. Enteritidis from two of the food samples at the wedding party was judged to show that the food served posed a health risk, as all the food items were ready for consumption without requiring further preparation or heating. The isolation of indistinguishable Salmonella strains from the food samples as well as from stool samples of respondents and catering personnel supported the hypothesis that the outbreak was foodborne.

    There are several possibilities for the source of the Salmonella contamination in this outbreak. Mayonnaise is a well-recognized vehicle of contamination when raw egg is used as an ingredient. However, in this outbreak all cold dishes and salads were made from commercially prepared ingredients. As commercially produced mayonnaise and sauces are conventionally based on pasteurized ingredients, it is unlikely that they would be the primary source of contamination. Commercial mayonnaise by itself is also not suitable for Salmonella propagation, due to its low pH adjusted by acetic acid. However, addition of mayonnaise to other salad ingredients may alter the overall acetic acid concentration of the mixture, thus providing a suitable base for proliferation once the pathogen has been introduced by secondary contamination.

    The environmental investigation revealed a number of infringements of food safety regulations, including a lack of staff training and the absence of records of a food safety concept according to the HACCP principles. Lack of temperature controls for food storage and transport as well as prolonged presentation of buffet dishes at room temperature provided ideal conditions for pathogen proliferation, regardless of the primary source of contamination.

    While they do not replace official controls, the HACCP principles are central to the European concept of food safety by helping food business operators to attain a high standard of food safety. Successful implementation of procedures based on the HACCP principles requires the full cooperation and commitment of food business employees. Adequate training of personnel is central to achieving this goal.

    The outbreak investigated in this study demonstrates the consequences of lack of staff training and the failure to identify hazards to food safety, as well as failure to implement control measures to mitigate such hazards. The use of flowers as food decoration demonstrated insufficient understanding of the potential for contamination through products that are not intended for food production and therefore not subject to food hygiene regulations.

    Intelligently implemented food hygiene concepts not only benefit the consumer but are also very much in the interest of the food business operator, whose business can be threatened by food-borne outbreaks. Initial hygiene and food safety training for food business operators should therefore also explain microbiological principles underlying food safety practices in order to equip the businesses with the required background knowledge and motivation to design and implement an intelligent food safety/HACCP concept, including the consideration and identification of potential sources of contamination. Explicit mention of the dangers of the use of non-edible flowers for decoration should be considered in guides to good practice, which are a valuable instrument to aid food business operators with compliance with food hygiene rules and with the application of the HACCP principles.

    The complete paper is available at http://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=20076.

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  • Posted: February 7th, 2012 - 3:28am by Doug Powell

    The Chicago Health Department has found critical food safety violations at the United Center, home of the Chicago Blackhawks and my personal hero, goaltender Tony Esposito, along with some basketball team.

    After a CBS 2 investigation, the city began inspecting food vendors at sports venues during games — something they had not done before.

    2 Investigator Pam Zekman has previously reported on the potentially dangerous food temperature violations at Wrigley Field, Soldier Field and U.S. Cellular Field.

    Now the results of inspections at the United Center are in and violations found at eight different concession stands resulted in the United Center getting an F, a failed inspection.

    The inspectors found 12 critical temperature violations similar to violations they found at other Chicago sports arenas.

    Food safety expert Kantha Shelke reviewed the inspection reports and was alarmed at the findings.

    “I’m surprised that the enterprises operating at United Center did not pay attention and follow the simplest rules of food safety.”

    Dr. Bechara Choucair, commissioner of the Chicago Department of Public Health,
    said the unannounced inspections on game day have proven to be valuable, adding, “I am very happy with this program. We’re going to continue operating under this policy in 2012.”

    Choucair added that with education of workers and continued spot inspections, they hope to end food temperature problems. All violations at the United Center were corrected at the time of the inspections.

    A full report of health inspection results at the United Center is available at http://chicago.cbslocal.com/inspection-report/.

    Note the Tony O jersey on the dude ordering at a game. Best goalie ever.

     

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  • Posted: February 3rd, 2012 - 5:18am by Doug Powell

    Diners in Kanawha County, West Virginia will soon be able to check their mobile phones for restaurant inspections.

    Dr. Rahul Gupta, executive director of the Kanawha-Charleston Health Department, told The Charleston Gazette he is developing a mobile application featuring inspections for all restaurants in the county.

    He secured funding for the application three years ago, he said, when presenting the idea to the state Legislature. The idea can get off the ground with renewed interest in reforming the county's health inspections, he said.

    Gupta also presented the proposed changes to the county's health inspections, modeled after Albany County, N.Y.

    Beginning in July, Albany County will require restaurants to post a sign near the front of the entrance explaining the establishment's sanitary inspection results. The sign will indicate Excellent Compliance, Good Compliance or Fair Compliance with the county's health code. Restaurants that received unsatisfactory ratings will be shut down and re-inspected within days.

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  • Posted: January 30th, 2012 - 9:45pm by Doug Powell

    Public health is often on the front-line of budgetary restrictions.

    And there’s indifference.

    Same in Australia.

    The Sydney Morning Herald reports that students seeking to work for local government as environmental health officers to monitor public health laws such as food safety, water contamination and hygienic practices, are in decline, according to Curtin University.

    The trouble has been competition with the mining sector, according to a university spokeswoman (the money sector, in Australia).

    Environmental Health Australia's state president Vic Andrich acknowledged the decline, saying local government as the prime employer of environmental health graduates had not provided competitive salary packages and promoted careers in environmental health.

    He said the lack of action by the Department of Health in maintaining local government EHO numbers was questioned by the Auditor General in 2004 in the Food Safety Report, and raised again at the EHA WorkForce Summit 2007.

    Mr Andrich however argued that any removal of Western Australia's only fully accredited environmental health degree course will further compound the shortage of degree qualified EHOs to safeguard public health in WA.

    The university has been reviewing the need to run the environmental health major in its bachelor of science (health, safety, and environment) course, as well as the health and safety major.

    "At this stage Curtin University can confirm that there is no final decision to cancel this major," the spokeswoman said.

    "The university is currently investigating the feasibility to review the content of the two majors to develop a single degree that may meet the standards of the professional bodies.

    The university has also not accepted any new enrolments for the master of environmental health and postgraduate diploma in environmental health this year.

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  • Posted: January 25th, 2012 - 2:23pm by Doug Powell

    RiverStone Health in Montana was criticized last month when it raised concerns about a man who wanted to make Christmas dinner in his family’s kitchen and deliver the meals to shut-ins.

    Health officials say they were only doing their job.

    “Let’s imagine the unimaginable,” said RiverStone Health CEO John Felton. “Suppose 35 people got salmonella. What would the question of RiverStone Health have been at that point? We would not have been the Grinch who stole Christmas. We would have been the folks who allowed 35 people to get sick because we didn’t execute our responsibility.”

    RiverStone objected to Cody Walter, owner of Delivery 2u, using private kitchens to prepare and distribute food. RiverStone provided Walter with information on food safety. They also identified a number of commercial kitchens so the holiday meals could be prepared in a facility equipped to safely store and prepare the food and milk donations he was receiving.

    Walter said he was “shut down” and suggested the Grinch had stolen Christmas.
    Public sentiment overwhelmingly sided with Walter.

    “What needs to be clear is that we don’t have any interest whatsoever in preventing churches, nonprofit organizations and others from doing the good they do in the community,” Felton said. “Our compelling interest is to protect the safety and health of the public. What we don’t want is to have a bunch of people get sick because we didn’t provide the information they need.”

    RiverStone Health employs nine registered sanitarians, six of whom are involved in food inspections. In fiscal year 2011, they conducted 1,750 unannounced inspections in 1,000 licensed establishments. The number of inspections does not include temporary events such as Christmas Stroll, Saturday Live and the Strawberry Festival.

    “Cody Walter was doing a good thing,” Felton said. “If we would have had advanced notice we could have worked closely with him. We don’t want to discourage people from doing those types of things. He seems like a good-hearted guy, but there is a huge difference between cooking for five people and cooking for 50 and then delivering it.”

    Walter said he understands now that RiverStone Health was only trying to protect him as well as those to whom he would deliver meals. “There are no hard feelings. They were only doing what they should be doing,” he said. “They are there for a reason.”

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  • Posted: January 24th, 2012 - 10:59pm by Doug Powell

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    Another in the weekly we’ve-been-doing-it-this-way-all-our-lives-and-never-got-sick declarations from a restaurant tentatively fingered in an outbreak of illness.

    The Hickory Daily Record reports 40 people have complained to officials at Catawba County Public Health that they got sick after eating a meal at Conover’s Harbor Inn Seafood restaurant.

    One thing the victims have in common is that they ate at Harbor Inn on Jan. 13.
    Health officials are working to determine what the illness is and what caused it, said Catawba County Public Health Outreach Manager Amy McCauley

    The first complaints came in on Jan. 17. As of Monday, 40 cases had been reported. None have required hospitalization, said Catawba County Health Director Doug Urland.

    “Our Environmental Health workers have been to the restaurant almost every day to investigate and educate the staff about proper food handling techniques and to make sure they are stringent about safe food handling techniques,” McCauley said.

    George Ziogas owns the Conover Harbor Inn and said he has no idea why some of his customers got sick following their Friday the 13th meal.

    “The Health Department came in and they could not find anything. All of the food temperatures were OK. All of the salad bar temperatures were OK,” he said. “We’ve been open for 23 years and we’ve never had a problem.”

    Recent inspection results have given Harbor Inn consistently high marks.
    The most recent inspection came on Dec. 29 and Harbor Inn got an A with a score of 99.5. Three months earlier the restaurant scored 99.5. In June, Harbor Inn earned a 100.5.

    “I want people to know we’re going to be here a long time – we’re not going anywhere – we’ve been here 23 years and this was a one-time incident,” Ziogas said.

    “I eat here all the time and I like the food – if I didn’t, I wouldn’t come back,” said Cora Greene, of Mountain View, on Tuesday, after sharing a meal of whitefish with her son. “This can happen anyplace, but I’ve never gotten sick. I’ll be back.”

    Health officials are working to identify the mysterious illness and its cause, but won’t speculate on what it may be.

    On Friday, Catawba County Public Health began distributing stool sample kits to the victims of the illness at the request of the North Carolina Division of Public Health. The people complaining of illnesses related to Harbor Inn meals have been instructed to use the kit and return it to Catawba County Public Health, which will then send the kits to the state lab for testing.

    It takes about a week to process the tests, and it won’t be clear what’s been making people sick until the results are in.

    None of the distributed kits had been returned to Catawba County Public Health as of Tuesday, McCauley said.

    The symptoms associated with the Harbor Inn outbreak are intense nausea, vomiting and diarrhea. The onset came within 12 to 24 hours following the Jan. 13 meal and lasted from 24 to 36 hours for most of the victims, according to reports from Catawba County Public Health.

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  • Posted: January 24th, 2012 - 9:33pm by Doug Powell

    The New York City Council will announce Wednesday that nearly 1,000 restaurant operators have responded, after only two weeks, to a Web survey seeking their views about the city health department’s new letter-grading system for food safety.

    As of Tuesday, 965 responses had been submitted — a sign “that we’ve hit a nerve,” said Christine C. Quinn, the Council speaker. “We’re getting surveys from every borough, and from very diverse neighborhoods.”

    Opinions expressed in the responses will be revealed in Council hearings scheduled for late February or early March. Responding to what the speaker said was “a wave of complaints” about letter grading, the Council posted a questionnaire on its Web site (www.council.nyc.gov) asking the city’s 24,000 restaurateurs to share information about their experiences with inspectors and administrative tribunals, and the cost of fines and inspection consultants.

    Susan Craig, a department spokeswoman, said a survey last summer showed that 90 percent of New Yorkers approved of letter grading, and questioned the methodology and the validity of the Council questionnaire, which asks for but does not require the names of respondents. “The survey has no method of confirming that a participant is actually a restaurant, nor does it ensure that an entrant fills out only one submission,” Ms. Craig said. “The results — good or bad — will have negligible value.”

    But Zoe Tobin, a Council spokeswoman, responded that “there is a vetting system in place” that checks for duplication and fraud. “We felt that anonymity was important to encourage candid responses,” she said.

    A survey response rate of 4.2 per cent sorta sucks and isn’t representative of much.

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  • Posted: January 24th, 2012 - 7:26pm by Doug Powell

    The UK Food Standards Agency’s latest public attitudes tracker shows that the main food safety issue people continue to be concerned about is food hygiene when eating out. Other issues include food poisoning and the use of additives in food.

    The Agency’s Food Hygiene Rating Scheme in England, Wales and Northern Ireland, and the Food Hygiene Information scheme in Scotland, aim to reduce these concerns by encouraging businesses to improve hygiene standards and reduce the incidence of foodborne illness. The schemes help consumers choose where to eat out or shop for food by giving them information about the hygiene standards in restaurants, cafés, takeaways, hotels and food shops.

    In this latest tracker survey, three new questions were asked to measure people’s awareness of food hygiene schemes. The results show that 19% of respondents had seen or heard about this type of scheme. When prompted, 21% of respondents reported that they had seen or heard about the ‘Food Hygiene Rating scheme’, 12% had seen or heard about ‘Scores on the Doors’ and 10% had seen or heard about the ‘Food Hygiene Information Scheme’.

    This latest wave of research was undertaken in November 2011, with a total number of 2,076 respondents interviewed via the TNS consumer face-to-face omnibus survey.

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  • Posted: January 22nd, 2012 - 8:11pm by Doug Powell

    Last May, it was reported that 195 of the 580 people served Easter Brunch at Luciano's Cotton Club in Worcester, Mass. were struck by norovirus contracted from a sick employee, and the incident was chronicled on Yelp and a food safety site called barfblog.com.

    “I would really drive home the point that they had a problem, investigated to determine what it is, and outlined a plan for what we're going to do from now on,” said Gregory Charland, founder and chief executive officer of Charland Technology, a Hubbardston-based company offering a wide range of technology services. “Organizations should use problems like that to really do some soul searching and figure out how and why this happened. The overriding concept to underline is that they are never going to have their name in the news about this again.”

    (Hint, and it’s in the blog post: don’t let sick employees work, even at an Easter buffet).

    Alex Barbosa, the restaurant's manager, declined comment.

    That’s one anecdote in a story about on-line reviewing, which some love and some hate.

    Alec Lopez dislikes consumer-driven review websites like Yelp, TripAdvisor and UrbanSpoon.

    The owner of Armsby Abey in Worcester, Mass. said, “I don't read reviews often,” Mr. Lopez said. “I hate Yelp because it's an unanswered forum for people to bitch. I feel like it's a green light to voice your opinion without consequences.”

    Worcester native Andrew Chandler, a 29-year-old medical student at the University of Massachusetts Medical School, had an unpleasant dining experience at Armsby Abbey, and chronicled it on Yelp.

    “I was really sad to have done it, but I think that when a place isn't responsive or accommodating, people should know about it. I was hoping Armsby Abbey would read it and respond. I think it goes a long way if a manager explains what the circumstances were, and how they'll prevent the problem from happening again. Today, online reviews can make or break a customer's decision.”

    In September, Harvard Business School professor Michael Luca released research that found a one-star rating increase on Yelp directly led to a 5 percent to 9 percent boost in revenue for independent restaurants, with comparable projections for independents in other industries. Despite the growing influence of Yelp and similar websites, business owners like Mr. Lopez continue to ignore — or worse, incorrectly address — negative feedback when it comes in the form of an online review.

    With 61 million monthly visitors and 22 million reviews online by the end of the third quarter last year, Yelp is the most popular online review destination for everything from dentists to dieticians. Yelp's popularity is proof that consumers trust reviews written by the average Joe, and enjoy contributing their own 2 cents.

    Wilson Wang, chef and owner of Baba Sushi in Worcester, said he checks online reviews of his restaurant “all the time,” monitoring what diners like — and don't like.

    Mr. Wang, whose customers' reviews currently rank Baba Sushi 4.5 out of 5 stars on Yelp.com, said he doesn't respond personally to people's comments but rather sees such reviews “as a mirror” to reveal what could be done better. “We are on the high level and we are really proud,” he said last week.

    Yelp and websites like it open the door for independent businesses with limited marketing budgets, giving them an opportunity to advertise through old-fashioned word of mouth in a high-tech world. They offer a safety net to consumers who, with a few keystrokes, can be reassured that trying something new — rather than falling back on the reliability of a chain — won't be a waste of their money.

    “Every time I've given a negative review and gotten some sort of constructive, non-judgmental response, I've made it a point to go back to whatever business it was and give them a clean slate,” said Amy Jamieson, a 42-year-old Yelp user and homemaker from Worcester. “If they're willing to try again, so am I.”

     

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  • Posted: January 22nd, 2012 - 6:37pm by Doug Powell

    Social embarrassment works on a number of levels: Scarlett letters, verbal putdowns, passing gas. Even stickers of shame, the New York City practice of slapping a neon yellow sticker along with a $65 fine on cars that illegally block street cleaners. According to the New York Times, the fine is largely irrelevant, it’s the embarrassing – and difficult to remove -- stickers that is fueling city council’s move to end the 25-year-old practice.

    With food safety, social embarrassment is an effective tool to increase awareness of issues: iPhones recordings of dancing mice, restaurant inspection grades, making people barf and hearing all about it.

    How to measure effectiveness remains problematic.

    Five years ago, Sacramento County in California launched a green-yellow-red food facility rating program, about 10 years after Toronto in Canada launched a red-yellow-green restaurant inspection disclosure program.

    Val Siebal, director of the Environmental Management Department, said that since the program began, food facilities receiving a green or “Pass” placard increased from 88 to 94 percent. At the same time, major health risk violations that could potentially cause foodborne illness have decreased. Restaurants are inspected three times a year and other food facilities twice a year. Routine inspections are unannounced.

    “The program has been well-received by food facility owners and operators, and is popular with restaurant patrons. The color-coded placards give consumers an instant message about the establishment’s food safety inspection record and compliance with State and local food safety laws,” said Siebal.

    A food inspection results website and smart phone apps were recently made available. Visit m.ffi.saccounty.net with your smart phone or tablet and view the inspection results for food facilities in your immediate area. Free apps can be found in the Android Market and iTunes app stores by searching for ‘Sac Food.’ Visit our mobile web & app page for more information.

    The 25-minute “How to Get a Green” training video is available in four languages (English, Spanish, Cantonese, and Vietnamese). It can be viewed online at www.emd.saccounty.net/EnvHealth/FoodProtect/FoodVideoTraining.html.

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