Restaurant inspection process overhauled in Louisiana

The Times-Picayune reports that a 2012 legislative audit concluded restaurant inspection in Louisiana was ineffective, inefficient, disorganized and dangerous.

louis.rest.inspectThe report scorched the Office of Public Health for its failure to detect or prevent potentially hazardous conditions in thousands of retail food establishments, putting the public’s health at risk.

J.T. Lane, assistant secretary for the Office of Public Health, reorganized the agency, promising that the changes would increase the frequency of inspections and, thereby, better protect consumers wherever food is served.

“The average (restaurant) owner, depending on what they’re operating, could see an increase in when they see an inspector walk through the door unannounced,” Lane said.

More than three years later, has Lane’s promise of a new day held true? Has the restaurant inspection process improved?

Three restaurateurs say they have not noticed much difference. But Tenney Sibley, director of state sanitarian services, said the answer is a resounding, “Yes.”

After the report’s release, the Office of Public Health moved swiftly to address these issues, Sibley said. First, it adopted the U.S. Food and Drug Administration’s recommendations on how frequently establishments should be inspected annually based on risk factor:

Once — Convenience stores and other outlets that mainly serve packaged foods

Twice — Fast food restaurants where products are cooked and served immediately

Three times – Full-service restaurants

Four times — Any establishment serving food to vulnerable populations including hospitals, nursing homes and schools.

Next, the department implemented an electronic scheduling system that tells sanitarians when a restaurant needs to be inspected. Before, the question of which establishment to inspect and when was largely left to the discretion of the sanitarians, with all record keeping and data collection done by hand, Sibley said.

The method by which the state inspects restaurants and other food establishments has also changed. Restaurants are now required, if possible, to fix any critical issues at the time they are discovered, and in the presence of the sanitarian. It used to be that if a restaurant was found to be storing raw chicken above salads, for example, the sanitarian ordered a fix but left the premises without ensuring the problem was addressed, Sibley said.

“I’ve been doing inspections for 26 years. When I started out, as a general rule, everyone got two weeks to fix a problem,” she said. “But as we learned and as the FDA became more active and provided more guidance, the focus changed to immediate correction. If we walked away from someone storing raw chicken over salad, what good is that if we come back in two weeks and you’re doing the same thing? How many people have been exposed to imminent health risks?”

Pennsylvania eatery inspections not enough

According to this editorial, it’s too difficult for Pa. diners walking into a restaurant to know if it has failed inspections recently.

Insect infestations. Rodent droppings. Unsanitary food storage.

web1_Restaurant_Inspections_WingsUnfortunately, these are common problems uncovered by state restaurant inspectors – who provide an important service to protect diners against illness or even death.

But a recent YDR inspection of the inspection system shows that it could be more useful and transparent for citizens.

The state does not require restaurants to post notices when they have failed inspections. Restaurants are required to post a sign saying the most recent inspection report is available upon request. But it’s up to customers to ask to see those reports. How useful is that? How many people walking into a restaurant would feel comfortable asking for an inspection report?

Customers can also check out inspection reports online. But that database is not easy to find and is very difficult to use on a mobile phone. You can find the database at the state Department of Agriculture’s website, but how many people would guess they need to go to the ag department for that information?

State officials will find that people really want easy access to this information. YDR reports on restaurant inspections are among the most popular stories on our website.

The state should develop an app.

The state largely depends on the power of shame to punish poorly run eateries. Publicity about failed inspections can result in business losses.

Restaurants with severe violations can also be fined – an average of $100.

Is that enough? And are fines and civil penalties pursued often enough?

No.

Most inspectors don’t levy fines because then they have to show up in court – a big hassle for a measly $100 fine. But when people’s lives are potentially at risk because of poor food handling, it’s worth the hassle of a court appearance.

State lawmakers should consider increasing fines – particularly for chronic inspection failures. And the state should charge restaurants that fail inspections for all follow-up visits. As it stands now, the first re-inspection is free.

Another thing lawmakers should consider: A visible rating system for restaurants.

Some other states use systems whereby restaurants are graded (A, B, C, D, F) or given a color code (green, yellow, red) based on inspection results.

I work in a kebab van, down by the river

Mehmet Cokgezici, 32, of Wrights Way, Woolpit, ran the Flames Kebabs takeaway van in Station Road, Elmswell, but admitted eight food hygiene offences, including letting bread rolls touch raw meat, at Bury St Edmunds Magistrates’ Court last week.

flames.kebabCokgezici, the court heard, had repeatedly ignored advice and guidance from environmental health officers from Mid Suffolk District Council.

The first three offences were dated August last year and reflected his failure to comply with notices issued in a July visit, including no hot water for handwashing and inadequate record keeping.

The further five offences for failing to comply with food safety provisions were described as “aggravating” by magistrate Susan Taylor and were dated in December last year, which the court said reflected a continuing failure to comply with any of the notices.

As well as ordering Cokgezici to pay £2,120, magistrates also granted the council’s request for a prohibition notice, banning him from managing a food business for the next three years.

Simplicity may mean ‘deliciousness’ but not safetiness

Deliciouness is a subjective thing. Microbiologically safe is more of a data-driven thing, or a does-it-make-you-barf thing.

lost.in.foodThe China Post reports 100 renowned local chefs gathered at Four Four South Village (四四南村) on May 1, vowing unanimously to be the safeguards of food safety, as part of the promotion for the Taiwan Culinary Exhibition (台灣美食展) that is to kick off in August this year.

Thirty of them displayed onsite how to prepare dishes that are low in sugar, salt and oil, all with seasonal foods, which manifests their determination to protect the health of the more than 70 percent of the people in Taiwan who eat out on a regular basis.

Janice Lai (賴瑟珍), chairwoman of Taiwan Visitors Association (台灣觀光協會), stated during the event that one of the reasons why the association holds the exhibition is that it hopes to bring visitors back to a time when simplicity meant deliciousness. In addition, it is also hopes that the exhibition will be a platform for restaurant-goers, chefs, farmers and government to exchange ideas and suggestions, added Lai.

Shu-TiChiou (邱淑媞), director-general of the Health Promotion Administration (國民健康署), complimented the event, saying “Tourists can now eat without worrying about food safety.”

Does that mean that up until May 1, 2016, tourists dined in justified fear?

What happens when a restaurant refuses health order to close: Nothing (maybe double-secret probabtion)

The Allegheny County Health Department issued a second notice of closure to Rudy’s Submarines at 270 Yost Boulevard Friday after the restaurant’s health permit was suspended Thursday.

rudys-submarinesRudy’s was ordered to close for failing to correct numerous violations, according to the Health Department. The violations include lacking a certified food protection manager, as well as not having a hand washing sink in a food preparation area, hot water in a hand washing sink, soap to wash hands or date-marking equipment.

In addition, the Health Department said that a “food contact surface” at the restaurant on Yost Boulevard was not properly cleaned and sanitized, and the floor and ceiling were in poor condition.

Although Rudy’s health permit was suspended Thursday, the Health Department found that the restaurant remained open Friday. It was again ordered to close.

Council-run Corn Exchange gets one star food hygiene rating – from UK Council

A Food Standards Agency ‘scores on the door’ visit to the council-run Corn Exchange venue in King Street found a handful of issues which did not meet safety standards.

env_food_hygiene_scores_bodyThe one star rating, which relates to the establishment’s pop-up bar and its service as a private venue for hire, signifies that major improvements are necessary.

The report from the inspection, which took place in March, said: “You are preparing food for six buffets a year for approximately 30 people. You must have a documented food safety management system.”

The report also highlighted that “there are no handwashing facilities at the temporary bars” and “you must ensure you comply with the new allergens requirements”.

A spokesman for the authority stressed that a safety management plan was now in place, as well as mobile handbasins at the temporary bars used for concerts and performances.

A spokesthingy said, “We take this issue very seriously and it demonstrates that we investigate our own premises as thoroughly as we do anyone else’s.”

Restaurant was never named but should be: 33 sickened by Campylobacter in Cardiff, 2015

Knowing when to go public in an outbreak situation is challenging. But it’s better than silence.The most important conclusions from this Public Health Wales report are:

Buffet_CounterOn the 27th May 2015 the Shared Regulatory Services Communicable Disease Team (Cardiff)  identified two cases of Campylobacter (one in Cardiff and the other in the Vale of Glamorgan) that were linked to the same premises (Premises A) in Cardiff.

This triggered an immediate investigation and an Outbreak Control Team was subsequently convened, declaring a formal outbreak on 4th June 2015.

In total there were 33 cases meeting the case definition of which 11 were microbiologically confirmed as Campylobacter jejuni. No cases were hospitalised. 24 cases ate at Premises A on 17th May. Of the remaining cases, seven ate on 16th May and one on 18th May. The final case ate on 7th June.

Repeated environmental visits were undertaken and issues that could potentially lead to cross contamination were identified. Premises A voluntarily closed on 4th June to address these issues and reopened on 6th June.

Of the 33 cases, 31 participated in a case control study.  These all ate between the 16th and 18th May.  The study revealed that 100% (31) of included cases had eaten from the salad bar compared to 84.9% (45/53) controls (p=0.024). In addition, 30 of 31 cases (96.8%) had eaten pasta salad from the salad bar, compared with 22/50 controls  (44%) (odds ratio 38; 95% CI 5.3–1611). Adjustment for other exposures using logistic regression did not materially change the association with eating pasta salad. A similar but independent association with eating noodles from the salad bar was also identified but few of the cases (6/31) had consumed noodles.

Environmental investigation found areas of non compliance with statutory food hygiene regulations and confirmed that several poor food hygiene practices had been identified that potentially could result in pasta salad cross-contamination within the kitchen area.

It was therefore concluded that eating pasta salad from the salad bar between 16th and 18th May 2015 was significantly associated with acquiring Campylobacter infection in this outbreak, and that for the small number of individuals who ate noodles this may have been independently associated with acquiring Campylobacter infection. The identification of non-meat items (often salad) in Campylobacter outbreaks is a reoccurring theme.

IMG_7739Ensuring good food hygiene is always the sole responsibility of the Food Business Operator. Nevertheless, it is important to note that this outbreak identified several issues which have implications more widely.

These included:

  • Issues with the interpretation and implementation by the food business of the Food Standards Agency E. coli O157 Control of Cross Contamination Guidance (revised December 2014).
  • Issues relating to the Primary Authority’s response in outbreak situations (relevant to Food Business Operators with multiple outlets).

The specific points of concern are explained in the discussion section of this report. 

Related to these issues, investigations highlighted three matters which may have implications for other high throughput food businesses.  These were:

  • Not using physical separation as the primary control measure to prevent cross-contamination.
  • An over reliance on two-stage cleaning as a control measure which may fail during busy periods.
  • The need to design out (as much as possible) any potential for human error resulting in cross-contamination.

Following this outbreak, improvements with respect to these three matters have been implemented in Premises A and all other similar premises nationally that are under the same ownership.

The outbreak was declared over on 25th August 2015.

Conclusions

  1. There were 33 cases of Campylobacter associated with this outbreak. Eleven were microbiologically confirmed.
  2. This had the features of a point source outbreak. All but one case ate at Premises A on the weekend 16-18th May. The final confirmed case ate at the premises on 7th June.
  3. Epidemiological and environmental investigation identified cross-contamination of the pasta salad as the most likely source of the outbreak for the cases on 16-18th May. No source was identified for the case on 7th June.
  4. Environmental investigation found areas of non compliance with statutory Food Hygiene Regulations and confirmed that several poor food hygiene practices had been identified that potentially could result in pasta salad cross-contamination within the kitchen area.
  5. The interpretation and application of the December 2014 revised version of the Food Standards Agency E. coli O157 Control of Cross Contamination Guidance by the Food Business Operator of Premises A resulted in the business not using physical separation as the primary control measure to prevent cross-contamination. This and over reliance on two-stage cleaning as a control measure was potentially not effective in preventing cross-contamination. This guidance was then used by the Food Business Operator to defend such arrangements and structural layouts as being in line with the recommendation of this guidance.
  6. Implementation of some control measures in this outbreak were delayed by involvement of the Primary Authority.
  7. Being unable to interview food handlers involved in this outbreak at an early stage in a structured format away from Premises A hampered outbreak investigation and control.
  8. Issuing a proactive press release without naming the premises resulted in this decision becoming the media focus rather than the outbreak.

Recommendations

  1. The Food Standards Agency E. coli O157 Control of Cross Contamination Guidance (revised December 2014) should be reviewed in light of the issues identified in this outbreak.
  2. The Food Standards Agency should work with the Better Regulation Delivery Office to develop advice for Primary Authorities on providing timely and effective responses to outbreak investigations.
  3. Proactive follow-up for example via telephone of all confirmed Campylobacter cases in Wales should be routine practice by all Local Authorities. This supports early detection of outbreaks, the application of control measures to be timely and prompt hygiene advice to be given to cases.
  4. Local Authorities should ensure that they retain sufficient Environmental Health staff with Food Safety and Communicable Disease skills to be able to proactively follow up communicable disease cases and investigate suspected outbreaks.
  5. Although direct poultry contact or consumption is known to be the most common source for Campylobacter infection in humans, the Food Standards Agency Campylobacter Reduction Strategy should note for consideration that outbreaks in Wales have also been linked to non meat products such as salads. This could of course in some cases represent cross contamination but they may wish to consider looking at the body of evidence from such outbreaks across the United Kingdom to inform the Strategy going forward.
  6. The use of ‘Requests for Co-operation’ under health protection legislation should be considered early in outbreak investigations in order to effectively interview food handlers.
  7. In future outbreaks proactive media engagement without naming the premises should be avoided.

 

Survey says: 550 Leeds and Bradford eateries threatened over poor food hygiene

Surveys still suck, but according to this one, 551 Leeds and Bradford businesses selling food are at risk of losing over half of their customers due to poor food hygiene, according to research and analysis from Checkit.net.

fsa.scores.doors61% of consumers say they won’t eat at a restaurant, takeaway, coffee shop or pub that has a low Food Standards Agency (FSA) Food Hygiene Rating while 75% say they wouldn’t risk dining at a restaurant that had been implicated in a food hygiene incident, even if recommended by someone that they trust.

But displaying those results is voluntary in England, so sorta meaningless.

According to the latest Food Standards Agency figures, there are 231 restaurants, cafes, canteens, mobile caterers, pubs, takeaways, sandwich shops and hotels in Leeds with a Food Hygiene Rating of two or below – 7% of the overall total.

This means they are classed as ‘urgent improvement necessary’, ‘major improvement necessary’ or ‘improvements necessary.’ For Bradford the figure is 222, making up 10% of food businesses in the city.

survey-saysTakeaways and sandwich shops were the worst sector for low food hygiene ratings, with 16% of Bradford businesses, and 15% of those in Leeds scoring 2 or under. Given that 64% of consumers say they’d avoid takeaways with low food hygiene ratings, this will have a major impact on the sector’s revenues and individual business survival.

Checkit’s consumer research also found that diners would rather put up with poor service from rude and unhelpful staff than eat at dirty restaurants. 66% of respondents rated unclean or dirty premises as the first or second reason for not returning to a restaurant. Just 16% cited slow or poor service with 32% saying rude or unhelpful staff would stop them coming back again.

Everyone’s got a camera: Australian supermarket duopoly edition

A Brisbane man says he will stop shopping at Coles after he found dozens of tiny insects in a sealed packed of pasta.

Masood Rahimi, 29, said he bought the 500g packet of Coles brand Bowties pasta in New Farm over a week ago.

It wasn’t until he was about to open it on Sunday when a friend noticed something moving around inside.

Mr Rahimi said there were maybe 50 to 100 bugs inside the packet, which he threw away.

He said he made a video of bugs and uploaded it to Coles’ Facebook page but didn’t think it would cause an impact.

At  Woolworths, a mouse was found eating biscuits in the bakery aisle.

South Australian man Mickey Young was shopping at Woolworths Port Lincoln at the weekend when another shopper noticed a mouse eating a biscuit inside a display cabinet in the bakery aisle.

Mr Young, who is a baker himself, began filming the mouse eating the sweet treat before it ran off.

Woolworths has launched an investigation and begun pest control following the sighting.

‘You are going to have food outbreaks’ Fewer restaurant inspections bad for Mississippi

According to this editorial from the Sun Herald, Robert Travnicek had a more than 20-year run as the head of the local Health Department, so we listen when he issues a warning.

RestaurantInspectionGradeCReporter Mary Perez contacted Travnicek for her front-page story Tuesday about budget cuts at the Mississippi Department of Health. The state is cutting 20 food inspector positions, which will result in some restaurants being inspected only once a year.

“Food inspection, if I was there, is the last thing I’d cut,” said Travnicek, who can speak more freely now that he’s no longer employed by the state. “Who knows what could happen in a year? You are going to have food outbreaks.”

Two positions were cut on the Coast and three Coastal inspectors were moved to wastewater-related duties.

The decision is troubling for our health, our businesses and our tourism industry in South Mississippi.

Restaurants want to put out a quality product. We get that. But the fear of frequent restaurant inspection ensures there are no corners cut. For comparison purposes, say you knew there were no highway patrolman on the interstate. Would you then drive well above the speed limit?

The inspection process protects you, the consumer.

Fewer inspectors also means restaurants are going to have a more difficult time getting open. Previously, inspectors would typically go out several times to a new facility and help the owner work through the process, Perez reported.

Now, a health department spokeswoman said, “we’re just not funded to do that because of the budget cuts.”

Bad food and bad business is nothing to mess around with.