At least they have mandatory disclosure: Hawaii switching vendors after flawed food safety inspection system

The state is switching vendors after spending thousands of dollars on a flawed electronic system for food safety inspections. The Department of Health paid Paragon Bermuda $169,939 for the system that was supposed to cover billing, inspections, and online public access. After three years of problems, however, inspectors have gone back to manually filling out paperwork as the state starts the process to solicit bids from other vendors.

doug.honolulu.rest.inspec“One of the big problems was when the inspectors used the system in the field, it freezes up, it was very slow, and that was very frustrating for our staff,” explained Peter Oshiro, DOH environmental health program manager.

The state upgraded to an electronic system for restaurant inspections in September 2012, but the database is only available for internal use. Oshiro said it’s unclear whether all that information can be transferred into a new system or if the state will have to start over with the next vendor that could be in place by the summer.
“We figure cut our losses now, get out of this bad system, and hopefully we’ve refined our procurement process to the point where we’ll get another better vendor the next time,” said Oshiro.

Hawaiian restaurant cited for removing food safety placard

The state Department of Health has fined the owners of Iyo Udon at Ala Moana Center $11,000 for intentionally removing a “conditional pass” placard and for food safety violations during a health inspection.

hawaii-restaurant-placardyellow*304xx1035-1553-83-0On Aug. 22, the department conducted a health inspection of the restaurant, which is owned by Iyo Seimen USA, Inc., and issued a yellow placard. A yellow placard is issued if there are two or more major violations observed during an inspection.

“Placard removal is a serious violation with substantial consequences because this act intentionally places profit above health and safety and compromises the public’s trust and their right to know when violations occur during an inspection,” said Peter Oshiro, the department’s Sanitation, Food & Drug and Vector Control Branch Manager. “Since the start of the new placarding program, we’ve seen excellent compliance with the food industry; this is our first incident involving tampering with a placard.”

New color-coded restaurant inspection disclosure system to start in Hawaii

Customers will soon be able to find out if their favorite restaurant makes the grade or has a dirty secret. The state’s food safety rating system is almost ready. Health inspectors are dishing out new rules to all food establishments, from fine dining restaurants to convenience stores.

toronto.dinesafePancakes & Waffles in Kalihi attracts customers with its homestyle cooking. Restaurant owner Jason Sung welcomes the changes to keep people from getting sick.

“I am pleased that they’re placing some kind of grading system in Hawaii,” said Sung.

Health department inspectors are visiting more than 10,000 food establishments statewide to educate owners about the color-coded grading system. Green (“Pass”) means one major violation or less that is corrected during the inspection. Yellow (“Conditional Pass”) indicates two or more major violations and requires a follow-up visit. Red (“Closed”) signals an imminent health hazard.

“If we looked at our data currently, probably 60% to 70% of our routine inspections of high-risk facilities would result in a yellow placard,” said Peter Oshiro, manager for the Department of Health’s Environmental Health Program. “So this is something where the numbers are way too high and they need to come down.”

ruby.restaurant.toronto.closedAt Duke’s Waikiki, the 330 employees are gearing up for the new regulations.

“It’s a challenge and I don’t think it’s going to be easy, but it is definitely something that we can all do. We just gotta put the effort into it,” said general manager Dylan Ching.

Homemade goods: most Hawaiian lawmakers not in compliance with food safety regulations

State legislators and their staff have been busy whipping up homemade goods for the annual Hawaii Food Bank fundraiser. The effort to raise cash lasts from January to early May and features a variety of fares, from Filipino food to brownies ala mode.   

“Any legislator good with fundraisers often has baked goods from their constituents, so that’s what we find here,” said Rep. Tom Brower.

Hawaii Food Bank fundraiserHowever, unbeknownst to many of the men and women who craft Hawaii’s laws, almost any food sold outside a restaurant or certified kitchen requires a permit.  
“These are short-term events or sales that are going to distribute food to the general public,” explains State Environmental Health Program Manager Peter Oshiro. “Anybody that has or wants to do those types of sales is required to get a temporary food establishment permit from the Health Department.”

Lawmakers organizing the annual drive for the food bank were caught off guard when approached by KITV4 about the need for a Department of Health permit.
“We make the laws here and it wouldn’t be prudent if we didn’t follow the laws that we make, and so it’s all about compliance,” said Vice-Speaker John Mizuno. “I’ll make sure that whenever we send memos at the kickoff of the Hawaii Food Bank fundraising effort, that we attach forms so that offices will know how to be in compliance.”

About 500 temporary food establishment permits are issued by the Health Department every month. Oshiro says the department just wants to make sure that all food is safe.  

Hawaii school linked to outbreak was warned of cooling practices in September

Relaying a violation or noncompliance on an audit or inspection form to a food business is only useful if they result in system or practice changes. Having some sort of a checklist is fine, but if no one learns from the audit/inspection, problems arise. Ignoring risk factors  highlighted by a verifier is an organizational values problem: the wrong folks are in managerial positions.pinoy-spaghetti-1024x683

According to the Honolulu Star Adviser, something organizational went wrong at Waipahu Elementary in Hawaii and led to foodborne intoxication in 30 kids. Improper cooling and handling of a pasta dish was pointed too by investigators, and a day later health officials revealed that a September 2013 inspection revealed risky practices – the exact same ones thought to cause the outbreak in December.

Health inspectors cited Waipahu Elementary on Sept. 18 for failing to properly reheat food, according to Health Department spokeswoman Janice Okubo. The violation also had to do with preparing pasta noodles.

The inspection was part of a routine visit that health officials conduct once a semester.
Okubo said the school’s cafeteria staff was told how to correct the situation and instructed to follow proper time and temperature controls.

Less than three months later, more than 30 children and two adults fell ill after eating lunches prepared in the school’s cafeteria. Some 25 students were taken to area hospitals after experiencing dizziness, nausea and vomiting, and feeling clammy and sweaty.

More than 30 sick from bad reheating of spaghetti at Hawaiian school

State health officials have found that bacteria-tainted spaghetti was the cause of an illness that struck dozens of students at Waipahu Elementary School earlier this month.

The state Department of Health said spaghetti cooked the previous day at the Oahu school was not properly heated the day it was served, spaghetti.schoolwhich created “an environment for bacteria growth.” The food also may not have been properly cooled the day it was cooked, the DOH said in a statement today.

“An inspection and interviews with cafeteria employees revealed food preparation violations that could be corrected with proper training and follow through,” said Peter Oshiro, head of the department’s Sanitation Branch. “We understand the school closed the cafeteria to retrain their food service staff and ensure safe food practices.”

Two adults and more than 30 students came down with dizziness, nausea and vomiting on Dec. 10. School officials immediately suspected food poisoning as the cause.

E. coli outbreak in Hawaii

I’ve flown so much recently all the movies are ones I’ve seen. So I rewatched The Descendants, with George Clooney, part of a series of pretty good movies by Alexander Payne that includes (the highly underrated) Election, About Schmidt, and Sideways.

The opening is something like, Just because I’m living in Hawaii I still have 1512_sideways_wideweb__430x267all the same problems as mainlanders.

Same applies to me in Brisbane.

But I think all movies are about me.

At least I don’t have (the dangerous kind of) E. coli.

Bacteria don’t care where you live.

And perhaps I’ll be judged as more communicative with kids, with the five daughters, than George Clooney, with none in real life.

State epidemiologist Dr. Sarah Park, told  KITV, “There is something going on.”

Over the past month, six patients (five children and an elderly resident) tested positive for the sickening strain of E. coli.

Three of those cases were severe enough the patients had to be hospitalized. Two of those patients then developed a potentially life-threatening complication.

According to the state’s letter, no source has yet been identified for this current cluster.

 

Farmers’ market in Hawaii requires food safety audits for vendors; different from ‘trust us.’

While regulations provide uniformity of the minimum acceptable practices. the market usually dictates further supplier requirements. Literally if you sell at the Saturday Diamond Head farmers’ market in Oahu. According to KITV, market organizers have started to require that vendors have some sort of verification that they are doing some risk reduction – or at least that they have food safety plans and an auditor has seen a snapshot of the plan in action.

Changes are coming to the Diamond Head Saturday farmers market, which is considered the flagship of Oahu’s farmers markets.
A mix of local produce, flowers and food venders is the draw.But, the Farm Bureau says it is anticipating stricter federal requirements.  Its landlord, Kapiolani Community College, wants to restrict farmers to those who are safety certified.
"It is a mandate.  It is part of their contract.  It’s a liability issue overall, so I understand it, but it’s sooner than I expected," said Dean Okimoto, of the Hawaii Farm Bureau.

Okimoto expects to lose about two farms on its vendor list.
But, for organizers of three other smaller markets — Ala Moana, Haleiwa and Hawaii Kai — it’s another story. They agree on the need for food safety, but they are more worried about a bill that Hawaii lawmakers are considering than the looming federal laws.

They believe requiring all market farmers to be certified would drive up costs and put farmers out of business. "We have a handful of farmers who have gone through the process and stopped, because they couldn’t keep their prices competitive because of the paperwork." said Annie Suite, who along with Pamela Boyer, operate three Oahu markets at Ala Moana Shopping Center, Haleiwa and Hawaii Kai.
"A lot of the farmers will stop farming.  Our immigrant farmers will not be able to do this.  And the thing is we now have a lot of young farmers coming up in their 20s and 30s and we don’t want to discourage them," said Boyer.

KCC and the Farm Bureau may be using food safety as a branding and marketing tool, but some question why it’s not being applied fairly across the board.

"The food vendors do not have to be certified, which is kind of crazy. If you have been to our farmers market, there are more food vendors serving meals than there are farmers," said Glenn Martinez of Olomana Farms (my guess is that the food vendors are regulated by the health department according to the Food Code -ben).

Over the past couple of years one of my graduate students, Allison Smathers, has been working with farmers’ markets in North Carolina to develop and evaluate food safety workshops for market vendors and managers.

Market managers, vendors and organizers have been part of the process from the start. But creating and delivering this training doesn’t mean that practices are impacted. Recognizing the need to measure behavior change (and the limitations of relying on self-reported tests), Allison has enlisted the help of a group of secret shoppers who have collected data on current practices and facilities and provided insight into specific areas to focus on. Stuff the shoppers saw, like improper handwashing, cross-contaminating samples and not monitoring temperatures have been the big focus.

Earlier this year we delivered the curriculum to 70 extension agents who have begun training vendors and managers in the best practices.
We haven’t encountered any markets requiring audits or we do know of a couple of sites that require some sort of GAPs trainings for their vendors, and some managers may require the training Allison has developed in the future.

The secret shoppers will be back out this summer looking again for food safety practices at markets where vendors and managers have been trained – something Allison can compare to what was seen in previous summers. 2010 data was presented at the 2011 IFT annual meeting.
 

Venison sushi salmonella case in Hawai`i

A bad case of salmonella poisoning suffered by a 65-year old Honolulu who ate raw venison sushi is the first documented case of its kind in Hawai`i and offers a reminder to physicians (and their patients) that there are many potential local sources of foodborne illness.

In the case, reported in the new edition of the Hawai`i Journal of Medicine and Public Health, the source of the illness is identified as venison, or deer meat, from the island of Lana`i.

A University of Hawai`i at M?noa press release quotes the article as saying, “In Hawai‘i, it has long been known that certain animals and animal products have a higher propensity to carry salmonella, particularly Hawaiian hogs and chickens. However, a search of the literature did not find data to implicate the local deer population as a source for foodborne illness.”

“The ethnic and cultural diversity of Hawai`i affords a cuisine with ample opportunities to eat raw or undercooked food, including sushi, ceviche, oysters, and clams,” wrote the researchers. “Game meat, including deer on Lana`i, is readily available to hunters. Clinicians in Hawai`i should remain alert and aware of the potential local sources of food borne illness. The deer population of Hawai‘i can potentially harbor foodborne pathogens. All persons should be reminded to thoroughly cook game meat and always adhere to safe food handling practices.”

1 year after letter grades New York people still eat out; Hawaii to launch color system

Restaurant inspection may only be a snapshot in time, and the grading or disclosure systems may have bureaucratic rules and seem unfair, but disclosure helps build a food safety culture, for the buying public and the back kitchen.

Lisa Fickenscher of Crain’s New York reports Waldy Malouf, the chef-owner of Beacon, has been asked by several concerned patrons about the “Grade Pending” sign posted in the restaurant’s entryway. One customer wanted a detailed explanation before she would book a party at the well-regarded midtown spot.

With the city reaching the one-year anniversary of the letter grading system, on July 28, New Yorkers have come to rely on the prominently displayed signs. And many say the grades influence their decision whether to dine at an establishment.

This week, Health Commissioner Dr. Thomas Farley will mark the system’s first year by releasing results of the program. And if the agency’s previous findings are an indication, the majority of New York’s 24,000-plus restaurants will have earned an A.

The grades are “something the public wants,” said Anthony Dell’ Orto, owner of Manganaro’s Hero Boy. “You’d be antagonizing your own customers” to oppose the system, said Mr. Dell’Orto, whose Hell’s Kitchen eatery received an A.

The city has hailed the grades as a success by several measures. Officials point out that though just 27% of restaurants earned an A on the first inspection, in a second round for those with lower grades, a majority had improved enough to earn an A.

“We are more vigilant and diligent,” said Andrew Schnipper, co-owner of Schnipper’s Quality Kitchen, a cafeteria-style American food joint in Times Square that was recently awarded a top grade.

To gain his stripes, Mr. Schnipper ramped up efforts to keep his place immaculate and in compliance with the health code. That meant a checklist with items ranging from ensuring that refrigerators are equipped with thermometers to checking that bathrooms always have soap and paper towels.

Though forced to abide by the rules, most owners view the system as unfair. They argue that it is a cash cow for a revenue-starved city—in addition to a flawed snapshot of their businesses. Even operators who boast an A are skeptical about the grades’ effectiveness as an appropriate measure.

The Hawaii Tribune Herald reports big changes are coming to the way the state Department of Health inspects and evaluates food establishments. Soon, the public will know at a glance how a restaurant, school cafeteria or other food service establishment fared in its most recent inspection.

The grading system will be green, yellow and red cards – similar to the program used in Toronto — prominently posted in public view in the eating establishment.

The cards will be paired with an online restaurant inspection reporting system that will allow the public to see the inspection reports simply by selecting the name of a restaurant.

The Department of Health is formulating new rules and will hold public hearings on all the islands before they are adopted. The inspection system overhaul includes an update to the FDA’s 2009 food safety standards. Many governments are using the 2001 and 2005 food codes; Hawaii is using the 1991 code, Oshiro said.

If all goes as planned, the new system could be in place on Oahu by the beginning of next year, and on the Neighbor Islands by next spring.

The importance of restaurant inspections can’t be underestimated, said Douglas Powell, professor of food safety in the Kansas State University Department of Diagnostic Medicine/Pathobiology and one of the authors of barfblog.com, a blog about food safety.

"Public disclosure of inspection information helps foster a culture of food safety by encouraging dialogue about food safety concerns among both consumers, various levels of government and the food service industry," he said.