For the love of God, take it back and next time use a thermometer

 

Restaurants are always faced with the problem of rapid staff turnover rates resulting in an on-going regime of constant training. Fair enough but are new staff being trained in food safety? In certain provinces only one staff in five on any given shift are required to have some sort of food safety training through a professional organization. Theoretically, on-site managers will have taken the course in the hopes of shedding some of that knowledge to their staff. The concern, however, is that some managers simply don’t care about food safety and information is not being relayed to front line service staff. That’s when typically the public, you, barf. It is one thing to train someone on the basics of food safety in a classroom setting but it is another thing to change ones’ behaviours and habits when dealing with issues on food safety. For instance, this is a picture of an undercooked chicken burger served to a customer during a lunch rush. The manager was more concerned about dealing with the influx of customers than paying attention to food safety, as a result the cooks followed suit and a raw burger was served. Managers have a responsibility to promote safe food practices and encourage staff to do the same. It apparently seems that attitudes and behaviours tend to change when something horrible happens, like a foodborne outbreak. It is time to be proactive and not reactive.

 

Where does foodborne illness happen--in the home, at foodservice, or elsewhere--and does it matter?

Casey Jacob did a nice job on this brief paper, responding to the suggestions of reviewers and, dare I say, developing as a writer.

Foodborne Pathogens and Disease published the abstract this evening, but not the full paper, by Jacob and Powell.

So here’s the abstract as a teaser.

Foodservice professionals, politicians, and the media are often cited making claims as to which locations most often expose consumers to foodborne pathogens. Many times, it is implied that most foodborne illnesses originate from food consumed where dishes are prepared to order, such as restaurants or in private homes. The manner in which the question is posed and answered frequently reveals a speculative bias that either favors homemade or foodservice meals as the most common source of foodborne pathogens. Many answers have little or no scientific grounding, while others use data compiled by passive surveillance systems. Current surveillance systems focus on the place where food is consumed rather than the point where food is contaminated. Rather than focusing on the location of consumption—and blaming consumers and others—analysis of the steps leading to foodborne illness should center on the causes of contamination in a complex farm-to-fork food safety system.
 

Guidelines for foodborne disease outbreak response

Proving there is a Council for everything, the Council to Improve Foodborne Outbreak Response released its Guidelines for Foodborne Disease Outbreak Response today.

The guidelines in this document are targeted to local, state and federal agencies and provide model practices used in foodborne disease outbreaks, including planning, detection, investigation, control and prevention. Local and state agencies vary in their approach to, experience with, and capacity to respond to foodborne disease outbreaks. The guidelines are intended to give all agencies a common foundation from which to work and to provide examples of the key activities that should occur during the response to outbreaks of foodborne disease. The guidelines were developed by a broad range of contributors from local, state and federal agencies with expertise in epidemiology, environmental health, laboratory science and communications. The document has gone through a public review and comment process.

The Guidelines document is not intended to replace current procedure manuals for responding to outbreaks. Instead, it is designed to be used as a reference document for comparison with existing procedures; to fill in gaps and update site-specific procedures; to provide models for new procedures where they do not exist; and to provide training to program staff. The document is available in electronic and hard-copy formats for state and local health departments.


 

CDC speaks: Surveillance for U.S. foodborne disease outbreaks, 2006

The U.S. Centers for Disease Control reports in tomorrow’s Morbidity and Mortality Weekly Report that foodborne illnesses are a major health burden in the United States . Most of these illnesses are preventable, and analysis of outbreaks helps identify control measures. Although most cases are sporadic, investigation of the portion that occur as part of recognized outbreaks can provide insights into the pathogens, food vehicles, and food-handling practices associated with foodborne infections.

In 2006, CDC reported 1,270 foodborne disease outbreaks (FBDOs) from all states and territories through the Foodborne Disease Outbreak Surveillance System (FBDSS), resulting in 27,634 cases of foodborne illness and 11 deaths. Among the 624 FBDOs with a confirmed etiology, norovirus was the most common cause, accounting for 54% of outbreaks and 11,879 cases, followed by Salmonella (18% of outbreaks and 3,252 cases). Among the 11 reported deaths, 10 were attributed to bacterial etiologies (six Escherichia coli O157:H7, two Listeria monocytogenes, one Salmonella serotype Enteritidis, and one Clostridium botulinum), and one was attributed to a chemical (mushroom toxin).

Among outbreaks caused by a single food vehicle, the most common food commodities to which outbreak-related cases were attributed were poultry (21%), leafy vegetables (17%), and fruits/nuts (16%). Public health professionals can use this information to 1) target control strategies for specific pathogens in particular foods along the farm-to-table continuum and 2) support good food-handling practices among restaurant workers and the public.

From France to Kansas City: foodborne illness in schools

Several headmasters from the Haute-Garonne and Tarn primary schools in France simultaneously informed the health authorities of the occurrence of digestive disorders of low severity among students.

A retrospective cohort study, conducted through self-administered questionnaires among approximately 3,000 students and teachers who had participated in two meals in 36 schools concerned, was initiated to confirm the existence of a foodborne outbreak and its origin. …

This large-scale foodborne outbreak illustrates the main factors that encourage the occurrence of foodborne outbreaks (multiple malfunctions in the preparation of meals), and stresses the importance of associating the epidemiological, veterinary and microbiological investigations in the early management of the alert, as well as the first management measures (eviction of sick personal) to avoid major consequences in collective catering.


Meanwhile in Missouri, two Lee's Summit kindergarten students have been hospitalized with salmonella.

The kids, a boy and a girl, have been enrolled in Richardson Kids Country during the school year. The Health Department has not determined if their illness is related to the school.

Maureen Dowd gets food poisoning; thanks White House

N.Y. Times columnist Maureen Dowd refers to President Bush dismissively, by his middle initial, and has been vastly less than impressed by his efforts in the Middle East.

Nevertheless, White House aides and medical staff leaped to help Dowd when she fell ill during Bush's eight-day swing through the Middle East.

Once she arrived in Jerusalem Jan. 8, Dowd fell sick — and started second-guessing her decision to leave the campaign trail for the presidential bubble abroad. She was suffering some kind of stomach bug that left her nauseated, weak and feeling feverish.

Dowd was quoted as saying, "I'm not sure it was a New Hampshire fever or Jerusalem food poisoning." The story notes that  Presidential aides, including press secretary Dana Perino, made clear early on that Dowd could see Richard Tubb, the Air Force brigadier general who oversees the White House medical office and takes care of the president at home and abroad.

But Dowd declined. With no medication, she tried to soldier on by grabbing whatever rest she could in her hotel room. Dowd finally decided to take up the White House on its offer.

A young press aide, Carlton Carroll, helped arrange for Dowd to visit Tubb at the Emirates Palace, the $3 billion luxury hotel where the president and his aides were staying. The hotel is so vast that Dowd and her escorts got lost twice in the marble and gold hallways.

Tubb gave her a few tablets of Cipro and some Pepto-Bismol and told her to check back with him the next day. She turned down Tubb's offer of an IV (so there was no chance of an "accidental" poisoning, she joked).

On Sunday, when the entourage flew from Bahrain to the United Arab Emirates, Dowd was supposed to be flying on the press charter, without access to Tubb. But the White House made room for her aboard Air Force One, where she visited the doctor once again in his office near the president's.