Let the Real Housewives of Orange County chime in on restaurant inspection grades

Having 10-day old baby Sorenne means a lot of sitting around. Seriously, the kid must have breastfed for 12 hours yesterday. And that means a lot of bad TV for Amy and Sorenne. Lately, it’s been a Real Housewives of Orange County marathon. I don’t know who lives like that and I don’t know what’s real about those people, but those ladies need to get their botoxed faces and fake boobies and restylane lips down to the Orange County Board of Supervisors.

Despite a warning from the county grand jury, the Board once again declined Tuesday to impose a letter grading system designed to inform would-be diners about the health safety record of restaurants.

Supervisor Bill Campbell, who once owned a chain of Taco Bell franchises, said he thought it was unfair to punish restaurant owners with grades or color codes if they had corrected problems and met health standards.

Orange County does not require its 13,000 restaurants to post letter grades after health inspections. Instead, restaurants are required to post certificates showing that they have met food preparation and cleanliness standards or are scheduled for a reinspection because of past violations.

In May, the Orange County Grand Jury concluded that the county’s current system essentially keeps the public "in the dark" about a restaurant’s record and suggested the county’s Health Care Agency require restaurants to post letter grades so the public knows how they scored in their last safety inspections.

After watching the mish-mash of federal, state and local approaches to restaurant inspection in a number of western countries for the past decade, I can draw two broad conclusions:

• Anyone who serves, prepares or handles food, in a restaurant, nursing home, day care center, supermarket or local market needs some basic food safety training; and,

• the results of restaurant and other food service inspections must be made public.

Publicly available grading systems rapidly communicate to diners the potential risk in dining at a particular establishment and restaurants given a lower grade may be more likely to comply with health regulations in the future to prevent lost business.

More importantly, such public displays of information help bolster overall awareness of food safety amongst staff and the public — people routinely talk about this stuff. The interested public can handle more, not less, information about food safety.

And instead of waiting for politicians to take the lead, the best restaurants, those with nothing to hide and everything to be proud of, will go ahead and make their inspection scores available — today. Demand it ladies.

Unpasteurized milk poses health risks without benefits

With disease outbreaks linked to unpasteurized milk rising in the United States, a review published in the January 1, 2009 issue of Clinical Infectious Diseases examines the dangers of drinking raw milk.

Milk and dairy products are cornerstones of a healthy diet. However, if those products are consumed unpasteurized, they can present a serious health hazard because of possible contamination with pathogenic bacteria. An average of 5.2 outbreaks per year linked to raw milk have occurred in the United States between 1993 and 2006—more than double the rate in the previous 19 years, according to co-authors Jeffrey T. LeJeune and Päivi J. Rajala-Schultz of the College of Veterinary Medicine in Columbus, Ohio. …

Raw milk advocates claim that unpasteurized milk cures or prevents disease, but no scientific evidence supports this notion. Testing raw milk, which has been suggested as an alternative to pasteurization, cannot ensure a product that is 100 percent safe and free of pathogens. Pasteurization remains the best way to reduce the unavoidable risk of contamination, according to the authors.

Bad bird advice for the holidays

The Brits and their piping hot. The Canadians and their 185F.

No one knows where this advice comes from, yet every holiday, the soundbites are trotted out like a recurring nightmare. It’s like a song by Journey or Styx or Bryan Adams – Don’t Stop Believing, I’m Sailing Away, Summer of ’69 — it keeps playing and it’s horrible.

The UK Food Standards Agency
came out with a computer screen saver yesterday that I couldn’t get to work, and just as well – it says “cook your turkey properly until the juices run clear.”

Color is a lousy indicator: use a digital tip-sensitive thermometer and stick it in.

Nevertheless, the communication experts at the Food Standards Agency say:

“These are the three main ways to tell if poultry is cooked:

* the meat should be piping hot all the way through

* when you cut into the thickest part of the meat, none of the meat should be pink

* if juices run out when you pierce the turkey, or when you press the thigh, they should be clear.”

Piping hot reminds me of Dick van Dyke in Mary Poppins. Provide some scientific validation for these statements. And is it really so hard to recommend using a thermometer?

In Canada, where the laws of physics are somehow different, Health Canada continues to recommend cooking all the crap out of the bird until 185F. The U.S. changed its advice to 165F years ago. When asked why, Canadian government types won’t talk. It’s a secret. But then again, Canada has no Parliament. It goes away. Just keep on believing.
 

Maple Leaf’s textbook video skips the hard questions

The most effective risk communication is also the most personal.

It’s about walking the talk.

Michael McCain, president and CEO of Maple Leaf Foods in Canada knows this, but just can’t quite pull it off.

McCain has personalized the message, taking responsibility for his deli meats that killed 20 people, but he can’t quite close the deal.

Below is a new video released today to, I guess, reassure Canadians.

From the beginning, I’ve asked some basic questions:

• who knew what when;

• why won’t Maple Leaf make their listeria test results public; and,

• what is Maple Leaf Food’s advice to those folks vulnerable to listeria.

Mr. McCain, you’ve got some high profile science advisors now. Would they recommend that their pregnant daughters eat any cold cuts? Would you tell old folks homes not to serve unheated deli meats to their clients? Will you make listeria testing public? And will you provide a full accounting of listeria tests and actions in the weeks leading up to the recall of Aug. 17, 2008. Does epidemiology matter?

So many questions, none of which are answered in your video.
 

It’s not raisons, don’t eat reindeer poop

Reindeer, like other deer, are ruminants, and like other ruminants, about 10 per cent will carry E. coli O157:H7 and relatives at any particular time.

So when a farmer, or huckster, promoting tourism at his reindeer farm says,

"About the worst that could happen is she could poop on you, but that’s not really a problem because they really just poop raisins," he said. Raisins are a favorite part of the reindeer diet at the farm.

"Or she could pee on you, but I wouldn’t worry, because I think I’ve heard something about reindeer pee, Christmas and good luck."

They aren’t poop raisins. Don’t eat poop.

Safe food when the power goes out – chill the beer on the porch

Baby Sorenne slept for a four-hour stretch last night. Not bad one week in. And now the big chill is supposed to arrive later today. It was 60F (15C) at 5 a.m., and has already dropped to 26F (-4C) by 10 a.m., and supposed to be 10F (-12C) by tonight.

A year ago Manhattan (Kansas) was suffering through an ice storm that knocked power out for a few days. The U.S. Northeast is going through the same thing: more than 1 million homes and businesses are without power after a huge ice storm.

“The ice storm compared with some of the Northeast’s worst, especially in New Hampshire, where more than half the state — 400,000-plus homes and businesses — was without power at the peak of the outage. Far fewer customers were affected by the infamous Ice Storm of ’98, when some residents spent more than a week in the dark. New Hampshire opened at least 25 shelters.”

"This is pathetic," said Bob Cott of Portland, Maine. "I’m already sick of winter and we have nine days to go before it officially begins."

And that’s a good reason to be in Kansas, rather than Maine, or Canada.

Listeria and Mother’s Milk

Doug wrote a book called Mad Cows and Mother’s Milk about a decade ago. I still haven’t read it. I feel bad about that, but I don’t think it has the answers to my recent nursing questions.

When we were meeting with the lactation consultant in the hospital (Melanie – you are fabulous, by the way), we asked her if foodborne illness could be passed on to the baby. She said no. She said not to worry about viruses such as flu or colds and that the baby cannot get Listeria or Salmonella from anything I eat.

Once home from the hospital, I immediately went for the pâté, brie, goat cheese (thank you Graduate Students!), and smoked salmon. Who knew that motherhood could be so delicious?
 

Safest food in the world – Kansas edition

John Schlageck, described as a leading commentator on agriculture and rural Kansas and “whose writing reflects a lifetime of experience, knowledge and passion,” provides absolutely no evidence to support his assertion in The Emporia Gazette that America “enjoys the safest, most wholesome food in the world.”

Schlageck also asks, “where do the most significant food safety problems occur — on the farm or in the kitchen?

“If you guessed the kitchen, you’re probably one of those wise consumers who may already be well on your way to a wholesome, healthy eating lifestyle. On the other hand if you guessed the farm, chances are your kitchen may be a place where food is mishandled or poorly prepared.”

Phrases like “on the other hand” are a waste of words my university students get penalized for using. I reward clear writing, in the tradition of Strunk and White in The Elements of Style.

Schlageck also offers no evidence for his claim that the majority of food safety problems happen in the home. The evidence is contradictory, and we have a review that will be published soon.

Bad writing and bad food safety assumptions need to be continually challenged. Blaming consumers may not be the best way to empower individuals.

Powell: Irish government did the right thing recalling dioxin-laden pork products

Friday we took baby Sorenne to her first pediatrician’s appointment. Everything was cool, we went and got some groceries, and on the way home a reporter from the Times of London rang me up. He wanted to chat about dioxin in feed in Ireland and had actually found a technical report me and a couple of students wrote almost a decade ago about dioxin in Belgian feed.

Indeed, I was the same person, oops, hang on a sec, removed the car seat from car, then chatted for about 20 minutes as I trugged the groceries up the hill.

The stories are running Sunday morning in London and my quotes are an excellent example of baby brain: some of the right words are there, but much of what I said comes across as gibberish. Nevertheless, the stories provide an excellent overview of the dioxin-in-Irish-feed crisis.

In the central science laboratory in York last Saturday, scientist Martin Rose stared in disbelief at his dioxin detector. He had injected a sample of Irish animal feed into the machine, and the results had gone off the scale. The level of toxic contamination was at least 5,000 times the legal limit.

Rose knew there was some urgency about the analysis. The Irish authorities had asked the laboratory team to work over the weekend to get test results in a few days; normally it would take four weeks.

At 3.40pm on Saturday last, Alan Reilly, deputy chief executive of the Food Safety Authority of Ireland (FSAI), was given the bad news. He called Brian Cowen and outlined the grim scenario. While only 8% of Irish pork was contaminated, it could not be isolated quickly.

Every minute that the taoiseach dallied, consumers were eating dioxin-laden Irish meat. How much damage that might be doing to people’s health was not known. Nevertheless, Cowen made his decision almost immediately. Aware of the damage it would do to Ireland’s pork industry, he ordered a full recall of all pork products from September 1.

“I actually can’t believe this decision is even being questioned,” said the FSAI’s Reilly. “I’m astonished by the people saying that we shouldn’t have ordered a recall. If we had left that meat on the shelves, leaving people to eat contaminated product, we would have been lambasted for being irresponsible, and in all probability we’d be out of our jobs.

Doug Powell, scientific director of the International Food Safety Network at Kansas State University, said off-the-scale readings from the feed justified the action.

“When you get those kind of numbers the response should be ‘let’s pull everything.’ If the public perceive that the authorities knew there was a risk and didn’t do anything, then they’d be crucified. From a crisis-management point of view it’s clear they did the right thing. Compare that with [the similar contamination crisis in] Belgium and we see the mess that came out of that.” …

The International Food Safety Network’s Powell believes that the government’s policy of annual testing is insufficient. “One test a year is only a snapshot. How do you know what they are doing the other 364 days?” he said. “We talk ‘farm to fork’ food safety all the time, but are the guys making the feed taking it seriously? We need to get a culture where the manufacturer is saying ‘we can’t mess this up’ rather than waiting for somebody to catch you. Everybody needs to have a culture of food safety. The marketplace can be brutal but that’s why we need to change attitudes.” …

According to Powell, the way forward is to change the culture that led to the crisis. “There will be a stigma associated with the product for a while,” he said. “The marketplace is going to demand better. Supermarkets will want to know what is going into the feed of their pigs. The producers and the processors can’t just say they have testing in place; they’ve got to prove it.”

Below is the abstract from the technical report we produced on the dioxin in Belgian feed crisis of 1999. The entire report is available at http://www.foodsafety.ksu.edu/en/articledetails.php?a=3&c=9&sc=64&id=316

In the spring of 1999, dioxin was introduced into the Belgian food supply, including exports, via contaminated animal fat used in animal feeds supplied to Belgian, French and Dutch farms. Hens, pigs and cattle ate the contaminated feed and high levels of dioxin were found in meat products as well as eggs. What followed was yet another European food safety scandal filled with drama and public outcry. There were government investigations, the removal and destruction of tons of eggs and meat products and huge economic losses. The case study of this incident reported here illustrates how the crisis unfolded, and evaluates how the Belgian government managed and communicated this crisis, based on publicly available documentation. The government’s major error, based on the unfolding public discussion of the events, was a perceived failure to publicly acknowledge the crisis, resulting in accusations of a self-serving cover-up. The government’s poor crisis management and communication strategy became the focus of intense public and media criticism and blame. Moreover, the significant issue of poor quality control in the food and feed industries was pushed to the sideline. Not only was the reputation of the food supply tarnished but public confidence in the government was damaged, leading to the resignations of two cabinet ministers and the ousting of the ruling party in a national election. This study confirms the basic components required to manage food-related stigma:

• effective and rapid surveillance systems;

• effective communication about the nature of risk;

• a credible, open and responsive regulatory system;

• demonstrable efforts to reduce levels of uncertainty and risk; and,

• evidence that actions match words.
 

Grocers speak on food safety

I don’t really know Bob Brackett other than an annual chat when we run into each other at meetings. Years ago I started calling him the best-dressed man in food safety ‘cause he always wore a sharp suit.

Bracket started out in academia, established himself at the University of Georgia, then went to government as director of the Food and Drug Administration’s Center for Food Safety and Applied Nutrition, and then to industry as senior vice president and chief science and regulatory affairs officer of the Grocery Manufacturers Association. That’s a lot of titles. And gives Bracket a credibility others can only talk about. This guy walks the talk, and has done it in various shoes.

Bracket writes in this morning’s N.Y. Times that the Grocery Manufacturers Association agrees with the Dec. 6, 2008 Times editorial that that the Food and Drug Administration should be given more resources and authority to prevent contamination of the nation’s food supplies.

Once in office, President-elect Barack Obama and his administration should commit to increasing annual food-related spending to $900 million by 2012 and should work with Congress to quickly modernize our food safety laws.

Specifically, the F.D.A. should be allowed to set and enforce safety standards for fruits and vegetables; require every food manufacturer to adopt, regularly update and make available for F.D.A. confirmation a food safety plan; and require food importers to document the steps they are taking to police their foreign suppliers.

By doing much more to prevent contamination — and by expanding and better targeting inspections — the next administration can immediately address the challenges of rising food imports and changing consumer preferences.

Good on ya.