FY 2001 FSIS Cooperative Agreements for Retail Food Safety
Outreach with Municipalities
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| Reports |
July 2002 Update |
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Agency |
Los Angeles County
Department of Health Services
Acute Communicable Disease Control |
| Key Contact |
Ramon E. Guevara, M.P.H.
Food and Water Safety Epidemiologist
Acute Communicable Disease Control
County of Los Angeles Department of Health Services
(213) 240-7941
(213) 482-4856 (FAX)
Akiko C. Kimura, M.D.
Medical Epidemiologist
Division of Communicable Disease Control
California Department of Health Services
(213) 620-6570
akimura@dhs.ca.gov
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| Description of expected activities |
Situation overview: Los Angeles County (LAC)
is the largest county in California, with a population of over 9.5
million people. LAC is culturally and economically diverse; 66% of the
population are racial/ethnic minorities, and 16% of the people live
below the poverty level. In contrast, certain areas of LAC are home to
some of the most affluent people in the nation. Reflecting the diversity
of its population, LAC has over 22,000 restaurants that range from
small, family-owned ethnic restaurants in low-income communities to
large nationally recognized chains in wealthier areas.
There are approximately 1800 foodborne illness complaints reported
each year in LAC, and roughly 90% are restaurant-related. The LAC Food
and Milk Program responds to each initial consumer complaint and, in
about half of these cases, initiates a detailed investigation of the
restaurant. Each investigation takes about 2-6 hours to complete. In
addition, LAC mandates that at least one person per shift in each retail
outlet that processes or prepares food undergo training through their
Certified Food Handler Program.
Goal of the outreach initiative: To develop retail food safety
educational programs in the underserved and/or underrepresented
communities. As a first step, there must be an understanding of the
characteristics of the small food service establishments. What are the
demographics of the food handlers and what kind of training do they
receive? Are there differences among those employed at small restaurants
in low-income communities or in high-income communities? Do these
differences affect food handling behaviors and foodborne disease
transmissions? The cooperators are not aware of published studies that
have explored these issues. This project will explore these issues by
conducting a knowledge, attitudes, and behaviors survey of managers and
front-line staff of small restaurants in both low- and high- income
communities. A total of 80 restaurants will be randomly selected for the
study from the LAC database. The results of the study will be used to
adapt current guidelines, training, and educational efforts to improve
the knowledge, attitudes and behaviors of the target population. |

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Agency |
New York State Department of
Agriculture and Markets |
| Key Contact |
Mr. Larry Decker
(518) 457-5459
larry.decker@agmkt.state.ny.us
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| Description of expected activities |
The New York State Department of Agriculture and Markets
will develop an educational manual and specialty food brochures in
various languages that can be utilized at compliance
conferences/educational sessions conducted at retail facilities that are
experiencing problems with compliance of food safety practices. The
manuals will consist of: Basic HACCP principals; emerging pathogens;
sanitation principals; preparation of fabricated meat and poultry
products; manufacturing of fresh, cooked, dry, and semi-dry sausage
products; manufacturing of jerky products; basic sanitation principals;
labeling requirements; and recordkeeping. The manuals will be printed in
various languages and used by senior inspectors across the state as part
of compliance conferences. |

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| Reports |
Brochure
- Food Safety for Mobile Food Vendors
[PDF, 6 pp]
The city of Philadelphia prepared a brochure explaining the
responsibilities of vendors, especially with regard to sanitation and
purchase of meat and poultry products from an approved source. Each
vendor was supplied a source log with instructions that would assist the
vendors to track where they purchased product to reinforce the need to
purchase meat and poultry products that they sell to consumers from an
approved source. |
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Agency |
Philadelphia Department of
Public Health |
| Key Contact |
Mr. George Zameska
(215) 685-7497
george.zameska@phila.gov |
| Description of expected activities |
Of the 14,000 licensed food establishments in the City of
Philadelphia, approximately 1,230 are mobile food vendors licensed as
"retail food establishment, non-permanent location". Unlike
permanent establishments, vendors must be inspected yearly to renew
their food service license. These inspections are conducted at the
Environmental Health Office located in the district where the vending
unit will be operating.
The mobile food vendor inspection program has sufficient resources to
meet emerging needs, but not enough to provide the recommended levels of
service to identify and implement USDA food safety initiatives. Of the
1,230 mobile vendors operating in the city, an exact number of those
that handle USDA-inspected products is not known. Although during an
inspection vendors are required to provide receipts of where their food
is purchased, this information is not documented in the permanent vendor
record. This lack of documentation results in an inability to track a
USDA product in the event of a USDA product recall. In addition,
although food safety certification training is required for mobile food
vendors, it is unknown how many vendors are implementing risk-based food
safety handling plans.
Under this project, all food items sold by mobile vendors in the City
of Philadelphia that contain USDA-inspected products will have a HACCP-based
plan. The plans will be reviewed by a trained sanitarian. Language
barriers will be identified and educational tools will be translated. A
comprehensive food vendor database will be developed. All vendors that
sell USDA-inspected products will be identified. Random reviews of
vendor inspection reports before and after implementation will be
conducted to assess the number of critical violations observed during
inspections. |

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Agency |
Maricopa County Environmental
Services |
| Key Contact |
Mr. David Ludwig
(602) 506-6971
dludwig@mail.m,aricopa.gov |
| Description of expected activities |
Facilities serving Hispanic-theme food comprise about 14
percent of all food service restaurants permitted in Maricopa County.
Between January and August of 2001, 231 warning letters have been
issued for significant noncompliance with the Health Code. Of these 77
(33%) have been issued to Hispanic-theme retail food establishments and
meat markets. Furthermore, for the year 1999, two of the four declared
food-related outbreaks came from Hispanic-theme retail food service facilities. Also,
of the 115 foodborne illness investigations that had definite
conclusions in 1999, 32 (28%) were attributed to Hispanic-theme food
service facilities.
These numbers present challenges to any food safety agency especially
when the facilities are established and considered mainstream to our
region. It is evident that Maricopa County needs a new approach to
reduce the factors of foodborne illness as well as a reduction in
critical violations that may lead to a foodborne illness in Hispanic
retail food facilities. In response to this, Maricopa County has worked
with a local Hispanic-theme food chain to address these issues. Through
this cooperative effort this chain has decreased the number of warning
letters issued from 5 to 0 since the program inception in 1999. They
have also had a decrease in the number of foodborne illness complaints.
In June of 2001, Maricopa County received numerous complaints on various
carniceria’s (Hispanic Meat Markets.) These establishments produce
food items that were unfamiliar to many of our inspectors, and the
methods of production varied widely. By researching a number of these
products and performing detailed training on what the products were and
how they should be prepared, county sanitarians were better prepared.
As a result of this training, a focused inspection was
conducted on these markets. Approximately 82 percent of the
establishments were found to have temperature violations, 28 percent had
food which was either unapproved or unwholesome, and 41 percent had
personal hygiene problems. As a result, over 1700 pounds of food were
embargoed and destroyed.
Long-term: Maricopa County would like all facilities to be in
compliance with the Health Code and to decrease the possibility for a
foodborne illness occurring. The Hispanic-themed establishments
represent a small proportion of all food establishments -- yet present an
increased risk to the public with poor sanitation practices. The
Maricopa County plan is to develop a risk-based approach to food
operations in Hispanic theme retail food establishments and meat
markets. This program will be designed to reduce the impact of foodborne
illness by promoting industry training for Hispanic-themed retail food
establishments, and the development of food safety systems to provide
active managerial control over foodborne illness risk factors. It will
include creating generic HACCP plans for many of the food products that
have they have in common and having the ability to show them how abused
their product may become with current methods.
Short Term: The program will first identify and provide a
baseline inspection of Hispanic theme establishments, perform a risk
study to identify the failures in their processes and then draft a risk
control plan for the identified hazardous situations. Thereafter, the
County will provide training for the facility as to the requirements and
how to meet them. Follow-up inspections will occur. A final report will
be submitted including sample generic risk control plans, additional
forms used, and a project evaluation. |

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