Food Hygiene Essentials

Campylobacter is one of the most common bacterial causes of gastro intestinal diarrheal sickness in the United States of America. The vast majority of these cases occur as isolated and sporadic events and not as part of recognized epidemic like outbreaks. Ongoing surveillance by FoodNet demonstrates that about thirteen cases are diagnosed each year for each 100,000 persons in the population. Many more cases go undiagnosed or unreported, and campylobacteriosis is estimated to affect more than 2.4 million persons each year, or 0.8% of the total population of the USA. This disease is also very common in Europe, the Middle East and Asia. Campylobacteriosis occurs far more frequently in the summer months than in the winter months. The organism is isolated from infants and young adults more frequently than from persons in other age groups and from males more frequently than females. Although Campylobacter does not commonly cause death, it has been estimated that approximately 124 persons with Campylobacter infections die each year in the USA.

Campylobacter organisms are spiral-shaped bacteria that can cause disease in humans and animals. Most human illness is caused by one species, called Campylobacter jejuni, but human illness can also be caused by other species. Campylobacter jejuni grows best at the body temperature of a bird, and seems to be well adapted to birds, who carry it without becoming ill. These bacteria are fragile. They cannot tolerate drying and can be killed by oxygen. They grow only in places with less oxygen than the amount in the atmosphere. Freezing reduces the number of Campylobacter bacteria on raw meat.

Almost all persons infected with Campylobacter recover without any specific treatment. Patients should drink extra fluids as long as the diarrhea lasts. In more severe cases, antibiotics such as erythromycin or a fluoroquinolone can be used, and can shorten the duration of symptoms if given early in the illness. Your doctor will decide whether antibiotics are necessary.

Most people who get campylobacteriosis make a complete recovery within two to five days after the onset of symptoms, although sometimes in more serious cases recovery can take up to 10 days. Rarely, Campylobacter infection results in long-term consequences. Some people may develop arthritis. Others may develop a rare disease called Guillain-Barré syndrome that affects the nerves of the body which begins several weeks after the onset diarrheal illness. This occurs when a person’s immune system is triggered to attack the body’s own nerves which results in temporary paralysis that lasts several weeks and usually requires an intensive care regime. It is estimated that approximately one in every 1,000 reported Campylobacter illnesses leads to Guillain-Barré syndrome. As many as 40% of Guillain-Barré syndrome cases in this country may be triggered by campylobacteriosis.Campylobacteriosis usually occurs in single, sporadic cases, but it can also occur in outbreaks, when a number of people become ill at one time. Most cases of campylobacteriosis are associated with eating raw or undercooked poultry meat or from cross-contamination of other foods by these poultry items. Infants may get the infection by contact with poultry meat wrappings in shopping carts. Outbreaks of Campylobacter are usually associated with unpasteurized milk or contaminated water. Animals can also be infected, and some people have acquired their infection from contact with the stool of infected dogs or cats. The organism is not usually spread from one person to another, but this can happen if the infected person is producing large volumes of diarrhea and/or vomit. A very small number of Campylobacter organisms (fewer than 500) can cause illness in humans. Even one drop of juice from raw chicken meat can infect a person. One way to become infected is to cut poultry meat on a chopping board, and then use the unwashed chopping board and knife or other utensils which came into contact with the raw meat to prepare vegetables or other raw or lightly cooked foods. The Campylobacter organisms from the raw meat can by these means spread to the other food products.

Many chicken flocks are infected with Campylobacter but may very well show no signs of illness. Campylobacter can be easily passed from bird to bird through a common water source or through contact with infected feces of other birds. When an infected bird is slaughtered, Campylobacter organisms can be transferred from the intestines to the meat. Likewise, the bacteria can infect a whole batch of birds via the presence of the bacteria being present on equipment and on the hands and/or the gloves of the slaughter house workers who do not wash hands between each bird they handle. In 2005, Campylobacter was present on 47% of raw chicken breasts tested through the FDA-NARMS Retail Food program. Campylobacter is also present in the giblets, especially the liver.

Unpasteurized milk can become contaminated if the cow has an infection with Campylobacter in her udder or milk which has been contaminated with manure. Surface water and mountain streams can become contaminated from infected feces from cows or wild birds. This infection is common in the developing world, and travelers to foreign countries are also at risk for becoming infected with Campylobacter.

I was asked to help solve a problem concerning cross contamination and product quality control in one of the smaller fruit juice factories in our area yesterday. The factory in question has a capacity to produce 72,000 liters of various fruit juices, fruit drinks and fruit nectar and ice teas. The factory basically consists of two departments, a mixing department and a bottling department. The products are either packed in glass bottles, plastic bottles or tetra pak cartons.

All of the concentrates are poured into the 18,000 liter vats via a barrel tipping machine and a suction device for roto plasts. The concentrates are pumped through a pipe console which directs the concentrates in to one of four vats in the mixing department.

The factory had started producing tomato juice several months ago and since the onset of this production the company has been experiencing problems with the shelf life and color of products. They had tried every way they could imagine to clean the pipes leading into the tanks but to no avail. Tomato paste is very thick and viscose which makes it a difficult product to work with. Tomato paste tends to travel through pipes in pulses and because of this it coats the pipes evenly from the inside. Thinner and less solid substances such as caustic soda solution tends to run along the bottom of pipes and will only reach the top extremities for brief moments. This makes cleaning tomato paste particularly problematic.

I could smell the presence of tomato concentrate coming out of all of the pipes. There was no question that there was a grave danger of the tomato residue in the pipes fermenting. After a little thought this was my solution to the problem:

1) only to use two of the tanks for producing tomato paste. The effect this would have would be to reduce any possible risk by 50% from the outset.

2) to install separate feed pipes into those two tanks for tomato paste. This would leave the pipes for other products uncontaminated by tomato paste.

3) To dilute the tomato paste with 50% chilled water in a 500 liter mixing tank which was already on site.(2 degrees centigrade) prior to being pumped into the tanks. This would cause the concentrate to be less viscose and much easier to clean during the CIP process.

4)To dissemble and to clean the pump on the barrel tipping machine after every use.

5) To dissemble all pipes weekly and to immerse them in caustic soda solution.

6) To clean all pneumatic valves with a special industrial pipe cleaning brush from all directions.

At the end of the meeting with the department head, production manager, head of quality control and the general manager, all my suggestions were accepted and will be implemented within one working week. I will conduct a follow up check one month from today.

Last Monday morning I received a phone call from the area superintendent of the department of public health. She told me that there was a steady stream of people falling sick due to eating food prepared by one of the large kitchens in our area. She continued to tell me that her department had been through the place with a fine tooth comb but still couldn’t find the source of the contamination. I arranged to meet them at the premises in question the following day to conduct an inspection.

To tell you the truth, I had a pretty good idea what I would be looking for because I had been to that particular kitchen several times in the past and had spotted a few things that seemed problematic. However, I had to make it seem as if I was earning my money so I decided that we would start somewhere quite far from the place that I suspected to be the problem.

We started by taking swabs of everything we saw and asked staff to provide swabs, blood, urine and stool samples. We checked the toilets of staff and diners alike and took swabs from all manner of cooking pots and trays,

I knew that this kitchen was using a type of bread basket within which to thaw meats and fish. The bread baskets were stacked one upon the other and left inside the two degree Celsius anti room of the freezer complex for up to four days. I also knew that the baskets were loaded onto a low level service trolley and brought up to the kitchen. I had known the chef of this kitchen for a number of years and I also knew that it was his practice to unload the baskets into plastic tubs after the lunch had gone out to the dining room. I always made a practice of doing this first thing in the morning before we started on the days chores.

What this meant was that the contents of the baskets were left to warm up from between seven o’clock in the morning until 11 o’clock in the morning. This wasn’t a very good practice. Every chef has his ways but I knew that this was not the exact point I wanted to look at closely. What bothered me were the baskets themselves. I had a word with the chef and asked him to make an exception today and vacate the baskets earlier. What i notices was what I suspected. After rinsing the basket with water to remove the blood I saw that there was a light colored plaque stuck to the plastic. I took a scraper and saw that it came away fairly easily. I took scrapings from all the baskets used that day and then took the baskets to the aluminium washing machine to see what happened.

The man working on the machine proudly took a stack of five baskets and but them onto the machine and presses the operating handle down. The baskets disappeared into the machine for a few seconds and then came out. The worker informed me that this was a very efficient way of washing the baskets. he then placed them back onto the service trolley which had not been washed only sprayed with a water gun and placed the baskets next to the lift ready to by taken back down to the freezers.

The guy in charge of the freezer units the proceeded to re fill them with produce for another day. I had noticed several things, 1) the baskets had not been scrubbed with a stiff plastic brush of Brillo pad with detergent, 2) they had only been rinsed inside the machine which used high pressure but was ineffective due to the fact that the stacking of baskets inside the machine rendered the high pressure ineffective,3) chicken, beef, pork and fish had been set out to thaw in the same tower of eight baskets.

All of this led us to believe that we had quite possibly found the missing link of the food contamination dilemma. What had been happening was that liquid released from the thawing meat and fish had been dripping onto the plaque in the bottom of the baskets which in turn had been dripping onto the neat inside the baskets below. Then we discovered something else. The worker who had been handling the baskets went to work on the dish washing machine that cleaned the crockery and cutlery merely wiping his hands on a towel and removing his plastic apron before going onto the dish washing machine. It was his job to remove the clean cutlery off the dish washing machine. We clearly saw that he could be contaminating the cutlery.

All we needed to do now was to take the cultures we had taken back to the lab and have them checked out. These were the findings. Camphilobacter, Staph Aureus, Salmonella, e. coli, vibrio an listeria were all present in large quantities within the plaque which we removed from the bread baskets. Our findings were relayed to the company management with the following recommendations. All bread baskets to receive immediate soaking in caustic soda. 2) All bread baskets to be scrubbed individually before putting them onto the aluminium machine,3) all bread baskets to be put into the aluminium machine individually and 4) all bread baskets to receive a weekly soaking in caustic soda. 4) aluminium machine worker was to thoroughly wash his hands and change overalls before helping out anywhere else.

A re check will be conducted in two weeks from the day all the baskets were washed in caustic soda.

I’m a qualified chef, life coach and psychotherapist. In the following article I would like to share with you a whole new approach to loosing weight safely. This is a system that I have formulated after years of working with clients who have problems maintaining a diet regimen.

This system does not require you to count calories, drink weird powder blends or feel hungry. Instead, what I advise my clients to do requires a change in their whole approach to food and drink but at the same time still keeps eating a pleasurable experience without causing any inbalences in the diet.

There are actually more than ten points in the system. What I require you to do is to choose at least ten points that you know that you can adopt into your daily routine. However the first point in the list is the only obligatory point in the system and it acts as the basis for all the others.

Read the list carefully and take time to understand the implications of all the different points. You can change points if you like. Your first choice may not be the ideal choice for you. Have fun with the system and look at it as a form of rehabilitation rather than a way of punishing yourself for how you look and feel.

Here is the list of points.

1) (obligatory). Drink one cup of water first thing in the morning and thereafter one cup of water before each meal, one cup of water during the meal and one cup of water after the meal. In addition drink one cup of water two hours before going to bed.

2) Always eat at a set table. Never eat standing up or laying down. Never eat in front of the TV, the movie screen or the theatre.

3) Cook your own food. Do not buy pre cooked dinners because they contain substances that are put there to make you feel hungrier.

4) Eat three pieces of fruit from the following list every day: apples, pears, oranges, grapefruits.

5) Eat four or five pieces of raw vegetables from the following list: carrots, radishes, tomatoes, cucumbers, lettuce, onion, bell peppers.

6) Eat at least three portions of cooked vegetables per day.

7) Eat three portions of grilled chicken or turkey breast per week.

Eat three portions of fish per week. (Instead of meat)

9) Eat in restaurants only once per week.

10) Eat Bread only with one meal of the day and eat no more than three slices. Eat whole grain bread. Whit bread is addictive because it gives the body no nutrients other than empty calories therefore causing the body to ask to be fed again. Whole grain bread constituted eighty percent of a healthy diet before the technology of making white flour was invented.

11) Do not eat anything that has a filling, especially cheese fillings. These are usually processed cheese and not good for you.

12) Do Not eat anything that is salted. (This relates to salted snacks)

13) Eat no more than one portion of desert per day, prefer fruit to desert.

14) Eat ice cream only once per week.

15) Do not eat fried food unless it has been fried with hot air. Poached eggs are healthier.

16) Prefer to eat food without heavy sauces.

17) Proportion you carbohydrate intake so that it makes up no more than one third of your total food intake.

18) Do Not drink any sweet sodas, no cola.

19) limit yourself to one alcoholic drink per day.

20) Cut out chocolate and sweets.

If there are any of the above points that are already incorporated in to your lifestyle then don’t choose these points to be among the ten, pick another choice instead.

See if you can adhere to ten points for ten weeks. If you manage this you are then ready for the advanced stage which includes adding the other ten points, For life.

Good Luck.

Massive public concern hits the streets of Mexico, the USA and other Central American countries as over one million reported cases of Swine flu are reported in Mexico with over twenty reported deaths. Swine flu has been know to infect humans in the past, particularly pig handlers but it has never been considered a major threat until now. The virus has now been identified as having crossed the species barrier.

Apparently the virus has been able to form mutations within its capsular wall by including proteins associated with human and avian flu strains. This new mutation makes it challenging for the human bodies immune system to recognize the pathogen and neutralize it.

Although this new virus strain does cause concern, the statistics of exactly how destructive this virus is need to be properly analyzed. Questions which are being asked include, does twenty deaths out of one million people infected with the virus give cause for serious concern? How do these numbers compare with other more common human forms of the flu virus epidemics? Are there any variants from the norm regarding risk groups? Can this new virus strain also be carried by avian vectors?

With H5 N1 bird virus we learned that young healthy people were primarily at risk precisely because of their strong immune reaction. How does this new mutation compare with avian flu ? It is clear that the public need more information about the way that this new virus acts.

It is thought that the virus can be transmitted by a number of vectors including direct contact with pigs, direct contact with infected humans, (the ingestion of infected pork products is stated as not posing a risk because this virus is specific to the respiratory tract), direct or indirect contact with the feces of infected pigs or humans, aerosol spray from the respiratory passages of infected human vectors or contact with surfaces upon which the aerosol of infected humans landed. Water could also serve as a vector if it was contaminated with viral infected feces or respiratory aerosol from infected animals.

On the basis of experience gained from the avian flu and SARS outbreaks authorities are swinging into action to contain the epidemic to avoid the risk of another pandemic and to minimize the risk to citizens of both nations. Citizens in higher than normal risk areas are advised to remain calm but to minimize possible exposure sources where possible by using common sense and to report and to seek medical advice for all flu like symptoms experienced by themselves their family or friends. Washing of hands and avoiding contact with persons showing infection with flu symptoms is advised.

Health experts have been quoted after stating that with the end of the flu season drawing close, it is hoped that this epidemic will come to a swift end.

Last week I received a phone call from the head office of a catering company that operates a number of large kitchens up and down the country. The voice at the other end of the line asked me to conduct an independent kitchen hygiene survey in one of their kitchens. I was asked to do a check which included inspecting the condition of the kitchen before and at the time of the arrival of the staff for work. The purpose of this check was to check the level of food hygiene awareness of the staff and the application of food hygiene training in practice, to see if the chef had conducted an adequate inspection of the kitchen before releasing the staff at the end of the shift and to look into the level of pest interaction with the kitchen overnight.

I have done this kind of check before. My job was to walk around the kitchen, dining room and storage areas of the kitchen and to submit a written report within two hours of finishing the inspection to the head office. If my finding were below a certain standard a Representative from head office would visit the kitchen in the early afternoon and hold an emergency meeting with the kitchen manager and the chef. The kitchen manager had been told of my scheduled visit at eleven o’clock on the evening before the visit.

I have to stress this is a kitchen which has had no serious cases of food poisoning in it’s entire history. Considering the findings of the report this may seem surprising to you. As I have stated before, most of us never really know that we are walking along a food contamination knife edge. I cannot allow you to see my written report due to client confidentiality but I can let you read my verbal notes which I recorded on my pocket recorder at the time of the inspection.

I arrived at the rear delivery ramp of the kitchen at five thirty in the morning. One half hour before the kitchen staff were due to arrive. The managers and two dining room workers were already on site.

The points will be numbered:
Kitchen Ramp:

1) Three pallets left unattended on the ramp.
2) Crows pecking sweet corn kernels on the fresh veg pallet.
3) Middle pallet containing fresh chicken legs, blood dripping onto ramp, flies starting to land on the boxes.
4) Vegetable fridge door left open.
5) Dry produce store room door left open.
6) Sparrows flying in and out of dry store room.
7) Cleaning chemicals left on ramp from day before.
Dirty service trolleys left on ramp from day before.
9) Water hose pipe left uncoiled from day before.
10) Empty produce boxes left on ramp from day before.

Kitchen:

11) Work surfaces dirty with water stains from day before, underside of tables dirty, table legs dirty. Dried raw chicken pieces found stuck on two table legs.
12) Shelves above work tables cluttered with disposable coffee cups. Cigarette buts inside coffee cups. Dirty plates, bowls and cutlery left on shelves. Dead flies on shelves. Shelves show no evidence of being cleaned.
13) Cobwebs in corners of ceilings.
14) Unclean linings in bread baskets.
15) Dirty cooking trays left in water overnight.
16) Dining room manager spraying degreaser onto barbecue grill vent in close proximity to food being set out for breakfast.
17) Egg trays on work surfaces in dining room and kitchen.
18) Unwashed parsley, dill and coriander put onto work table surface by kitchen worker.
19) Boxes of unwashed vegetables put onto work tables by kitchen staff.
20) Box of unwashed red peppers placed on top of chopping board.
21) Combi steamers greasy and with fallen food on oven floor.
22) Electronic thermoporters unclean. Water trays not emptied. Dirty water and thick layer of lime in water trays apparently not changed for several days.
23) Bad smell coming from inside dish washing machine. Filters not cleaned at the end of the night shift.
24) Fryer lids sticky and greasy.
25) Cockroaches coming out of fryer side panels after being turned on.
26) Small particles of food and stains evident on ceramic wall tiling behind cooking pots and fryers.
27) Stagnant water in cleaned plastic tubs. Tubs not inverted after washing.
28) Bread cutting machine left untidy with thick layer of crumbs let on the machine and floor after use.
29) Meat slicing machine not cleaned with soapAfter use. Fatty lawyer evident after previous day’s use.
30) Plastic tubs containing thawed raw meat left uncovered in fridge.
31) Condensed water dripping onto food trolleys from fridge ceiling.
32) Food trolleys in fridge not covered.
33) Fridge temperature gauge not working.
34) Evidence of mildew, liquid egg, and various sauces on fridge shelving.
35) Fridge floors wet and muddy.
36) Service trolleys not properly cleaned at the end of the day and not being cleaned between tasks.
37) Head Chef wearing very dirty trousers.
38) Staff smoking and drinking coffee in the kitchen.
39) Staff rest area not cleaned the day before, coffee cups and dirty eating plates and cutlery left on tables. Floor filthy. Cat present in staff eating and rest area.
40) Staff not wearing head covering and failing to wash hands before entering the kitchen area.
41) Disposable surgical gloves left on work surfaces after use.
42) No Liners in trash cans.
43) Boxes of frozen vegetables left on kitchen floor by store staff.
44) Rats seen in empty box collection cage.
45) Cats seen in most areas around kitchen and dining room.
46) Birds seen in Kitchen store and in dining room.
48) Blocked sink in vegetable cleaning area. No sign of technical staff for twenty minutes.
49) Meat left to thaw outside of fridge.

These were my findings within the period of forty five minutes of arriving in the catering kitchen. As you can well imagine my grading was not very favorable on that particular day. I know that the head chef and kitchen manager were place on probation in view of these findings. A repeat survey is to take place within a period of one month.

E. Coli or escherichia coli are gram negative, rod shaped, motile or non motile, non spore producing facultative anaerobic bacteria which live in the lower intestine of all warm blooded animals. E. Coli species that are capable of propulsion do so by means of a ‘flagella’ which is a whip like tail.

Most types of e. coli are absolutely harmless and are part of the normal and necessary flora of warm blooded species. In fact they are very necessary because they produce vitamin K as a bi product of their metabolic activity and by existing in great numbers help by preventing other pathogenic bacteria from colonizing the gut.

Some species of e.coli are pathogenic which means that they can cause desease. The strains that are pathogenic are 0157:H7 and 0111:B4. This particularly virulent capacity was transferred to these e.coli bacteria from shigella bacteria which passed shiga toxin to e.coli by means of bacteriofages which are a type of viral species. Both these strains of e.coli have the capability of transferring their virulent qualities to other bacteria around them by means of their sex pilus which is a needle like protrusion from the side of their body wall by which they insert the DNA codes necessary for the production of virulent qualities into bacteria next to them. One such virulent quality is the ability to resist certain anti biotics.

The very virulent strains of coli such as 0157:H7 and 0111:B4 are capable of causing serious intestinal illness particularly in the very young, old and the immunologically compromised. However it must be stressed that the majority of common e.coli outbreaks are mild and cause only diarrhea and mild temperature increase. More serious virulent cases can cause complications such as hemolytic-uremic syndrome.

E. coli toxins can be heat tolerant or heat labile. This quality makes the boiling of water to kill e. coli unsure and in such a case water should be boiled in a pressure cooker, if available, for at least twenty minutes. Another alternative would be to only drink safe bottled water if possible. E. coli bacteria which escape from the intestine into the abdominal cavity through means of a perforated ulcer, intestinal lesion or a ruptured appendix will cause peritonitis and be life threatening if not treated promptly with antibiotics such as streptomycin and gentamycin to which e.coli are very sensitive. E. Coli which are associated with the intestinal mucosa lawyer can be found in greater numbers in conditions such as Crohns disease, iritable bowel disorder and ulcerative colitis.

E.coli is contracted through contact with contaminated food or water sources in which the content of the gut as come into direct or ‘indirect’ contact with food or water. Severe cases of e. Coli infection can resemble cholera.

New strains of E.coli are continually being produced by the process of mutation. Some strains may develop traits that are harmful to the host animal. E.coli prefers to reproduce at the temperature of 37 degrees Celsius but some strains have shown the capacity to reproduce at temperatures of up to 49 degrees Celsius.

E. coli has been found in agricultural produce such as spinach. In 2006 there was a famous outbreak of contaminated spinachin the US due to the fact that bovine feces polluted a spinach field which was at the bottom of the hill on which a herd of cattle were kept. In this case all the spinach was recalled and destroyed.

E. coli contamination can be prevented for the most part by maintaining a correct food hygiene policy in the kitchen and by using reputable food suppliers.