If you’re sick, stay at home

"In this outbreak, vomiting by a line cook at the work station might have contributed to transmission … Because of the open physical layout of the restaurant, no barrier impeded airborne spread of the virus from the kitchen to the main dining area."

Or so concludes the U.S. Centers for Disease Control in its write-up of a Jan. 2006 norovirus outbreak in Michigan (it was a Carrabba’s Italian Grill in Lansing, Mich.) in which "at least 364 restaurant patrons became ill with gastroenteritis after dining at a restaurant where employees had reported to work while ill."

At the time of the outbreak, a food service employee in Lansing wrote that, "What happened at Carrabba’s could occur at any of our local eateries. Not because their kitchens are not clean, not because they don’t follow all of the safety standards, but because sick employees report to work. There is an internal peer pressure to report to work even when you are ill, not to mention that a day without pay can be crucial for some families."

As I wrote in Feb. 2006,

The industry spokesthingies may say that sick employees should not work, but the reality is, no work, no pay. So, for the food industry, tell your sick employees to stay at home, and perhaps even provide incentives, like allowing for a couple of sick days. The cost of a few workers abusing the system pales in comparison to the lawsuits and lost business.

Following the outbreak, the Barry-Eaton District Health Department (where Lansing, MI, is located) issued four recommendations (based on previously published guidelines) for infection control and environmental decontamination after any vomiting incident in a food-service establishment (what to do after someone barfs):

• Any exposed food or single-service articles (e.g., drinking straws, takeout containers, and paper napkins) should be discarded, and all surface areas within at least a 25-foot radius of the vomiting site should be disinfected with a bleach solution;

• ill employees should be excluded from work for at least 72 hours after symptoms subside, and employees returning after a gastrointestinal illness should be restricted from handling kitchenware or ready-to-eat food for an additional 72 hours;

• because thorough disinfection might be necessary, partial or complete closure of the food establishment should be considered after a vomiting incident

• restrooms used during or after a vomiting incident should be closed immediately until they are disinfected properly with bleach solution.

Ontario region calls for mandatory food service training

Niagara Region politicians are calling on the province to make food safety preparation training mandatory for everyone in Ontario employed in the preparation and serving of food to the public.

The story says that the move comes on the heels of several high-profile incidents this summer of food poisoning in Niagara.

The region is also forging ahead with its own plans for a bylaw to require mandatory safety training for food handlers and servers. That’s expected to come later this year or early next year. But regional politicians said the best solution would be a provincewide rule requiring mandatory training.

We agree.

"Parenting and preparing food are about the only two activities that no longer require some kind of certification in Western countries. For example, to coach little girls playing ice hockey in Canada requires 16 hours of training. To coach kids on a travel team requires an additional 24 hours of training.

"It’s unclear how many illnesses can be traced to restaurants, but every week there is at least one restaurant-related outbreak reported in the news media somewhere. Cross-contamination, lack of handwashing and improper cooking or holding temperatures are all common themes in these outbreaks — the very same infractions that restaurant operators and employees should be reminded of during training sessions, and are judged on during inspections. Some jurisdictions — such as the city of Fort Worth, Texas — place so much importance on teaching these lessons they require mandatory food handler licenses and have invested in an infrastructure of training that demonstrates the city’s commitment to public health. Other cities and states have no training requirement.

"There should be mandatory food handler training, for say, three hours, that could happen in school, on the job, whatever. But training is only a beginning. Just because you tell someone to wash the poop off their hands before they prepare salad for 100 people doesn’t mean it is going to happen; weekly outbreaks of hepatitis A confirm this. There are a number of additional carrots and sticks that can be used to create a culture that values microbiologically safe food and a work environment that rewards hygienic behavior. But mandating basic training is a start."