Evaluation of food safety and sanitary practices among food vendors at car parks in Ile Ife,southwestern Nigeria

Globally, the street food business has expanded rapidly and provides access to a diversity of inexpensive, ready-to-eat variety of food for customers. Street Food vendors (SFVs) operate where numerous customers exist and their operations are poorly regulated in Nigeria. Globally, SFVs were implicated in several outbreaks of foodborne diseases. This study therefore evaluates the behavioural characteristics and hygiene practices of SFVs in car parks in Ile Ife, southwestern Nigeria.The study was cross sectional in design and utilized interviewer-administered questionnaire on 160 randomly selected SFVs, targeting demography, food and personal hygiene practices and knowledge of foodborne diseases.Most respondents were <40 years (134, 83.7%); females (147, 91.9%); married (125, 78.1%); had at least secondary education (144, 90%); and vend whole meals (151, 94.3%), respectively. In addition, only 27 (16.9%) ‘always’ wash hands after using the toilet; 100 (62.5%) ‘rarely’ keep finger nails short while only 6 (3.8%) SFVs ‘always’ refrigerate leftover cooked food, though experiences power outages that compromise refrigeration temperatures. About ⅔ (61.9%) of the SFVs had no formal training and their medical status is unknown. Hence, inception and refreshers trainings should be mandatory and enforced by appropriate authorities. In addition, supportive monitoring, supervision, among others are necessary to promote compliance.     

Hygiene knowledge and practices of night market food vendors in Tainan City, Taiwan

Night markets are a unique part of Taiwanese culture and are ideal places to visit to taste local delicacies. “Visiting night markets” not only has become a habit for local residents, but also a particular favorite for non-local tourists. Street food vending in the night markets has been increasing for several years but this growth presents public health challenges, with evidence of diarrheal diseases. Therefore, there are emerging needs for understanding the hygiene knowledge and practices of food vendors to ensure hygienic preparation of street foods. This empirical study can be used in understanding the current situation of food hygiene practices in tourist night markets and in exploring proper strategies for improving food safety at the markets.     

Food safety knowledge,attitudes and practices of street food vendors and consumers in Port-au-Prince,Haiti

This study had the major objective of determining the food safety knowledge, attitudes and practices of vendors and consumers of street food in Port-au-Prince, Haiti. Haiti currently has no food safety legislation in place. 160 consumers and 80 vendors from four different communes (Tabarre, Delmas, Pétion-ville and downtown Port-au-Prince) volunteered to participate in the study. In general, consumers and vendors exhibited average food safety knowledge and attitude levels. Gender, training, level of education and location did not have a significant effect (p < 0.05) on the level of food safety knowledge of the consumers. Vendors were determined to have higher levels of food safety knowledge than consumers, whilst trained vendors had better food safety knowledge and attitudes compared to untrained vendors. The majority of vendors and consumers were aware of the importance of washing hands and proper cleaning with regards to the prevention of foodborne diseases. However, some other aspects were of concern. Consumers and vendors did not know that Hepatitis A, Salmonella spp. and Staphylococcus spp. are pathogens responsible of foodborne diseases. They also had difficulties in identifying the groups at risk of foodborne diseases and most were unaware of the importance of reheating food to fight against foodborne diseases. In the observational part of the study, it was found that in 60% of the cases, flies and animals were evident around the stall and 65% did not have access to potable water. The majority served food with bare hands and did not wash their hands after handling money. Additionally, 70% of the vendors did not chill pre-cooked food. The conditions in which street food vendors operate in Port-au-Prince are largely unacceptable from a food safety point of view and an effort should be made to provide them with adequate infrastructure including potable water, toilets and waste disposal facilities. The results of this study should be used to generate part of the impetus towards the development of enforcement of appropriate food safety legislation in Haiti.     

Food safety knowledge,attitudes and practices of street food vendors and consumers in Ho Chi Minh city,Vietnam

This study had the major objective of evaluating the food safety knowledge, attitudes and practices of consumers and vendors of street foods in Ho Chi Minh City (MCMC), Vietnam. There were three main surveys performed in this study. A total of 120 consumers and 40 street food vendors from four districts [Binh Thanh (BT), Thu Duc (TD), district 3 (D3) and district 8 (D8)] in HCMC contributed to the study on a voluntary basis. The surveyed consumers had adequate levels of food safety knowledge and attitudes. No significant difference (p > 0.05) occurred between the food safety knowledge levels of the consumers on the basis of gender. However, significant differences (p < 0.05) occurred on the basis of age, education level, food safety training status and location. In contrast, the street vendors had poor food safety knowledge and attitude levels. No significant differences (p > 0.05) were observed in the food safety knowledge levels of the vendors on the basis of gender and age. However, significant differences (p < 0.05) were found on the basis of food safety training status and education level. It was also noted that the vast majority (95%) of the vendors had not received any food safety training. With regards to the practices, it was determined that 52.5% of the vending sites were open air stands without any protection from the sun, wind and dust. 52.5% the vending stalls had no direct access to potable water, while 47.5% did not have adequate hand washing facilities and a further 30% lacked proper waste water and food disposal facilities. In addition, 52.5% of the vendors did not separate raw, partially cooked food and cooked food products. These findings highlighted that street food vendors in HCMC generally have poor food handling practices and most are operating under unhygienic conditions. These results should provide the Vietnamese government with even more reasons to increase their current efforts to improve the safety of street foods and food safety awareness of the consumers.     

Hygiene and good practices in school meal services: Organic matter on surfaces,microorganisms and health risks

The aim of this study was to evaluate and classify the sanitation and hygiene conditions in Porto Alegre/Rio Grande do Sul (RS) public schools using an analysis of surfaces that come in contact with food and a food safety checklist validated for the school environment. The following mesophilic heterotrophic bacteria count medians were observed on each piece of equipment or utensil studied: countertops, 27.3 Colony-Forming Units (CFU)/cm²; cutting boards, 15 CFU/cm²; blenders, 14.5 CFU/cm²; dishes, 2 CFU/cm²; and refrigerators, 1 CFU/cm². The median of the surface measurements analyzed by adenosine triphosphate (ATP) bioluminescence was less than 40 Relative Light Units (RLU)/100 cm² for all equipment and utensils, except for the countertop surface, which had a median of 52.5 RLU/100 cm². The data from 120 schools showed that 33, 64 and 3% were classified as high, regular and low health risk, respectively. The results showed that most schools were exposed to cross-contamination with failures especially with regard to environmental hygiene and procedures. Failures related to both factors potentially raise the risk of outbreaks in this environment. The scores used enabled the classification of school meal services and the identification of the points that need more attention. Intervention strategies that target different aspects of food handling, not only knowledge, may be promising in this scenario, which may address problems that mainly involve the food handler and promote changes in food handling practices.     

Urban street foods in Shijiazhuang city,China: Current status,safety practices and risk mitigating strategies

Street foods often reflect traditional local cultures and offer a unique cultural experience to tourists and even to ordinary consumers. With the increasing pace of globalization and tourism, the safety of street foods has become one of the major concerns of public health. There is an urgent need, in China, to establish a national program to raise the food safety awareness and knowledge of street food vendors. The safety and hygiene status of street foods in Shijiazhuang city was investigated. Data on the street food vendors' food safety knowledge and practices, inspectors' regulatory capacity and consumers' purchasing habits were collected. Potential hazards in the preparation and sale of street foods were analyzed and strategies for ensuring the safety of street foods were recommended. The study showed that the street food safety risks are primarily due to the use of unqualified raw materials encouraged by ineffective inspections, poor infrastructure at the street food vending sites and lack of sanitation knowledge among street food vendors. In order to prevent street foods from being contaminated, more stringent and effective routine supervision and food safety practices should be adopted and the environmental conditions and facilities should be improved. Regular training in food processing technology, food safety knowledge and practical food safety evaluation methods should also be strengthened among street food vendors and food safety inspectors.     

Knowledge of food safety and food handling practices amongst food handlers in the Republic of Ireland

Food safety concerns have existed for a long time, as millions of people across the globe suffer from food borne disease every year. Contamination of food owing to limited knowledge of food safety practices primarily increases the risk of food borne illnesses. In the present study, quantitative research was carried out to gauge the level of food safety knowledge amongst people living in Ireland. A total of 1069 participants from all over the Republic of Ireland contributed to the survey (of which 821 were included in this research). Results showed that the residents of Ireland overall had an average level on knowledge of food safety practices (67.0% passing rate). They had an average level of knowledge in food storage (52.8% passing rate), usage and maintenance of the kitchen facilities (59.0% passing rate), and personal hygiene (61.0% passing rate). Conversely, they had a critically low level of knowledge in food handling (10.8% passing rate) and food poisoning (20.1% passing rate). The results of the present study also showed that, the level of knowledge of food safety practices varies amongst the residents based upon their gender, age, place of residence, education level, and marital status, while no significant difference in the knowledge level was observed based upon their per capita income. The study thus, highlights that there is scope for improvement for the residents to advance their knowledge of food safety practices. Therefore, it can be recommended that researchers, educators, food safety communicators, and the media can engage in educating the population, to help the residents advance their food safety knowledge to safer food practices.     

A comparison of hygiene standards of serving and cooking kitchens in schools in Hungary

IntroductionFor the appropriate and efficient operation of school kitchens it is indispensable to have a thorough knowledge of their condition, identification of weaknesses and strengths. Our aim is to establish a methodology for food safety survey which provides possibility for maintainers to understand the condition of their kitchen in accordance with the good hygiene practice (GHP) directives. Based on this assessment points of interventions should be identified for the better adaptation of GHP.MethodsSixty-eight school catering units were surveyed in Hungary examining them at 233 points. Nineteen of the evaluated food service units are operated as cooking kitchens and 49 were serving ones. The checklist based survey focused on the following topics: Physical establishment and environment; Kitchen personnel; Equipment and utensils; Food delivery and storage; Food preparation, serving and cleaning; Quality assurance; and Conditions of the dining hall.Results and conclusionsPerformance of the kitchens was between 44 and 91%, however, serving kitchens were scored lower. Our analysis showed that the food safety level of a unit will be primarily determined by adequacy of food handling. According to our observations kitchens can be levelled up by development of knowledge and awareness of kitchen workers. This knowledge will be the precondition and motivating factor for changes in behaviour and development of good handling practices. Within the scope of this development special attention should be paid to serving kitchens.     

Street food on the coast of Salvador,Bahia, Brazil: A study from the socioeconomic and food safety perspectives

Street food includes various food items and drinks largely sold in public places, including leisure areas such as beaches. Despite the prevalence at this activity studies made within this scenario are few. Therefore, this study sought to characterize street food commercialization on the Salvador coast in Bahia, Brazil based on the socioeconomic, labor, and food safety perspectives. An exploratory and quantitative study was conducted on 14 beaches using questionnaires addressing the following areas: the socio-demographic characteristics of the food vendors, characteristics of the work, and hygienic and sanitary conditions of the activity. Our study included 247 food vendors with an average age of 40.3 years, of whom 55.9% were women, and 48.7% had completed an elementary education or less. The median time spent working in street food vending was nine years, and the average working day for the participants was 8.3 Furthermore, 46.2% of the participants worked only on weekends and 72.0% declared that their family income was between one and three times the minimum wage, of whom 29.1% had revenue from a source other than street food vending. Most of the vendor locations were fixed (57.5%), and the products sold were typically obtained from supermarkets (48.1%), suppliers (36.8%), and street markets (36.0%). Prepared food items were the most common (61.6%), although mineral water/soft drinks (35.8%) and beer (35.2%) were also commonly sold items, followed by acarajé (21.9%), coconut water (19.0%), fried fish (14.2%), and abará (12.5%). Only 38.3% of the perishable food items were kept in cooling containers. Of the interviewed individuals, 22.6% declared that they did not sanitize their hands when working, whereas 80.2% admitted to handling food and money simultaneously. Our study reveals the socioeconomic importance of the street food sector as well as the poor hygienic conditions of most street food vendor operations.     

Protecting child health by preventing school-related foodborne illnesses: Microbiological risk assessment of hygiene practices,drinking water and ready-to-eat foods in Italian kindergartens and schools

The purpose of this study was to evaluate hygiene and microbial safety in 26 Italian school catering establishments. This involved monitoring the microbiological quality and safety of ready-to-eat foods (n = 395), drinking water (n = 43), food contact surfaces (n = 139), and food handlers (n = 249). Food samples analyses revealed an adequate level of microbiological quality and safety. Of particular concern was the isolation of Salmonella spp. and Listeria monocytogenes in 5.8% and 1.9% of raw vegetable samples, respectively. Escherichia coli counts exceeded the microbial reference standards in 8.6% of soft cheeses samples and in 27.3% of multi-ingredients preparations. Staphylococcus aureus counts exceeded the reference limits only in 5.7% of soft cheeses samples. The hygienic level of food contact surfaces was very high, since only 1.4% of samples showed unacceptable contamination. Concerning the food workers' hands, the results showed that the total bacterial count, coagulase positive staphylococci and Enterobacteriaceae levels exceeded the reference standards in 18.1%, 10.4%, and 11.2% of cases, respectively. The results of the water analyses indicated that 47.8% of the tap water and 10.0% of drinking water samples examined were found to be non-conforming to law limits. In conclusion, since children have a relatively lower immunity than adults, additional safety measures are needed to protect them from foodborne pathogens and high microbial contamination in school lunches. Consequently, our results suggest that various changes in the timing of food preparation and holding temperatures are needed, and good manufacturing practices and HACCP principles need to be applied more rigorously.     

Food safety knowledge,attitudes and self-reported practices of food handlers in institutional foodservice in Accra,Ghana

The aim of this study was to evaluate the food safety knowledge, attitude and practices (KAP) of food handlers from institutional food service establishments that serve hospitals, boarding senior high schools and prisons in Accra, Ghana. A total of 278 food handlers (56.8% of hospital, 30.9% of schools and 12.3% of prison food service) participated in the cross-sectional study. Data was collected by face-to-face interviews, and responses were scored to determine the level of food safety KAP. Respondents who scored ≥70% of the maximum possible score were adjudged to have sufficient knowledge and practices and positive attitudes. Results showed that respondents generally had insufficient food safety knowledge and practices with means scores of 20.99 ± 7.64 (46%) and 9.35 ± 5.62 (52%) respectively. Attitudes towards food safety were generally negative but with a comparatively higher mean score of 12.64 ± 3.06 (63%). Areas of most concern were 1) Lack of knowledge of sources of contamination/cross-contamination and appropriate holding temperatures for food. 2) Poor practices included multiple freeze-thaw cycles for frozen food and 3) Infrequent hand washing during food preparation after coughing or sneezing. There is the need for continuous risk based training to educate and effect behavioral changes among food handlers. This process will encourage positive attitudes towards food safety and consequently promote good food safety practices.     

Assessment of personal hygiene knowledge, and practices in Al Ain, United Arab Emirates

There is little information available about incidences and causes of foodborne illnesses that can help the government develop policies, which prevent them in the UAE. This study includes a group of multinational subjects (males and females), residing in Al Ain, UAE, and of an age ranging between 15 and 55 years. A questionnaire designed to assess “Knowledge” and “Practice” of public hygiene measures was piloted in a group of subjects from the public (n = 600). Data shows that 100% of highly educated subjects with postgraduate degrees (Master and PhD) have the proper information about food safety. However, only 70% of them always wash their hands before and after eating, while 80% always wash their hands after using toilets and frequently using warm water and soap. 29% of the total participants were inflicted with foodborne illness, and 85% read articles about food safety and personal hygiene. Most of the subjects in this study are Muslims, and they mainly depended on their daily attitude, which affects their personal hygiene because they must wash before praying. Data generally referred that awareness programs or training are needed, even for the highly educated members of the public. Further research is needed to explain the differences between reports of actual and usual behaviors.     

Knowledge, attitudes and practices of workers on food hygienic practices in meat processing plants in Fars, Iran

This cross-sectional study was conducted to evaluate the knowledge, attitudes and practices of food workers in four meat processing plants in the Fars province, southern Iran. A self-administered, structured questionnaire was designed and completed by 97 food workers during November 2006–January 2007. Results indicated that the respondents had acceptable level of knowledge, excellent attitudes and poor practices toward food hygiene measures. Almost all of the food workers (97.9%) were aware of the critical role of general sanitary measures in the work place while there was lack of knowledge about microbial food hazards in the majority (67–78%) of them. A significant negative correlation was observed between knowledge and practices (r_s = −0.20, P = 0.04), and attitudes and practices (r_s = −0.27, P = 0.009), revealing that increased knowledge and even attitudes toward food safety does not always result in positive change in food handling behaviors.     

Knowledge of food safety and handling in households: A survey of food handlers in Mainland China

The objective of the study was to provide a picture of knowledge of food safety and handling in households and identify a demographic profile of “high-risk” groups with the poorest knowledge. A national survey of food handlers in Mainland China (n = 482) was conducted using previously validated closed questionnaires. The questionnaire consisted of 26 knowledge questions, which included 5 scales that covered key concepts of food safety and handling in households, and 7 demographic questions. The respondents demonstrated a very low level of knowledge and the mean score awarded to them was 7.95 (knowledge scores from 0 to 26). The data were further analyzed to determine differences in knowledge between populations of different demographics. Differences were found between male and female respondents (p < 0.01), urban and rural respondents (p < 0.01) and respondents with different income levels (p = 0.04). Two “high-risk” groups with the lowest level of knowledge are 1) male food handlers with a per capita annual income of less than 30,000 CNY (4773 USD) and 2) female food handlers who live in rural areas and have a per capita annual income below 30,000 CNY (4773 USD) and deserve special attention. This is the first national survey in Mainland China and the results suggested that developing educational programs related to food safety and handling in households of Mainland China are urgently needed.     

Knowledge,attitudes and practices of food handlers on food safety in food service operations at the Universiti Kebangsaan Malaysia

This study was conducted to determine the level of knowledge, attitudes and practices of food handlers in food service operation at the main campus of Universiti Kebangsaan Malaysia (UKM) regarding food safety. Data were collected from 112 food handlers through questionnaires which consisted of questions about knowledge, attitudes and practices. The results showed that there was significantly positive correlation among the three levels and respondents possess good scores for knowledge (19.68 ± 3.87) about personal hygiene, foodborne diseases and temperature control of food; for attitudes (89.26 ± 8.66) on safe food handling, and for practices (90.02 ± 8.23), specifically for appropriate hand washing, use of gloves in food preparation and prevention of food hazards. About 73.2% of respondents never attend any training related to food safety and majority show poor knowledge of pathogens associated with disease-causing agents as well as critical temperatures for storage of ready-to-eat foods. Therefore, effective and ongoing training on food safety and hygiene must be given to all food service employees to ensure the safety of food provided.     

Evaluation of basic knowledge on food safety and food handling practices amongst migrant food handlers in Peninsular Malaysia

This study was aimed to measure the basic knowledge on food safety and food handling practices among migrant food handlers as these information is scarce in Malaysia. A cross-sectional study was conducted face-to-face amongst 383 migrant food handlers from three major cities in Peninsular Malaysia through questionnaire. Socio-demographic information of all respondents was collected. Questions on food safety knowledge (i.e. food cleanliness and hygiene, symptom of foodborne illnesses and foodborne pathogens) and food handling practices were assessed. The compiled data were analyzed by using the Statistical Packages for Social Science (SPSS) 16.0. Overall, migrant food handlers had poor level of knowledge on food safety with an average food handling practice. Significant effects were observed between respondents’ food safety knowledge and socio-demography (country of origin and educational level) and two factors namely; respondents’ nationality and attendance at food training programs showed significant associations with their food handling practices. Multiple logistic regression analyses revealed that attendance at food training programs was a significant and independent predictor of the respondent’s food handling practice. The study’s findings highlighted issues with regards to the extent of knowledge acquisition on food safety and hygiene by migrant food handlers. Therefore, this warrants improvements not only in the better delivery methods of training modules but also tight enforcement of attendance at the programs by the respective authorities.     

Comparative study of imported food control systems of Taiwan,Japan, the United States,and the European Union

The growth of the global food trade has increased significantly over the last two decades. The purpose of this review paper is to compare imported food safety controls in Taiwan, Japan, the United States, and the European Union. Our key findings are: 1) imported food of animal and non-animal origin is by separate, competent authorities in Taiwan, Japan, and the US, whereas it is controlled by a single authority in the EU, 2) foreign facilities require registration in the US and Japan, 3) importing high-risk food in the EU, Taiwan and Japan requires the competent authority to inspect the food chain process and facilities in the third country, whereas a US FDA’s accredited third party auditor can do so in the US, 4) an advanced developed support systems for enabling the effectiveness and efficiency of imported food control can only be found in the EU and US. These findings may help the competent authorities responsible for imported food safety in Taiwan and the other countries to develop and enhance their own systems, not only to meet the international standards but importantly for the sake of public health protection.     

The hygienic working practices of maintenance personnel and equipment hygiene in the Finnish food industry

The hygienic working practices of the maintenance personnel as well as the hygiene of the equipment in the food industry were investigated with questionnaires and microbial surveys. The protective clothing, washing of hands and tools as well as avoiding foreign bodies left on the production lines should be targeted when the hygienic working practices are developed for maintenance personnel. Based on the questionnaire to food processors, packaging machines, conveyers, dispensers, slicing and cooling machines were considered the most problematic pieces of equipment hygienically mainly because of poor hygienic design. In order to improve food safety, both the training of maintenance personnel in food hygiene and equipment design should be more emphasised.     

Knowledge,attitude and practices of food safety amongst food handlers in the coastal resort of Guangdong,China

In order to identify risk factors contributing to foodborne disease outbreaks in Guangdong province, China, the present study evaluated the knowledge, attitude, and practices (KAP) of food safety among food handlers in a coastal resort area that has a high incidence of foodborne disease outbreaks from Vibrio parahaemolyticus. The KAP of 171 food handlers from 22 food establishments—including seven food establishments in which outbreaks had occurred and 15 in which outbreaks had not occurred—were evaluated.A self-administered questionnaire designed to access the KAP of food safety was completed by the food handlers. The majority of respondents didn't know the maximum stored time at room temperature and the most common agent of foodborne disease in seafood. Most of the respondents' attitudes about food safety and training were positive. When asked about the practices undertaken, about one-fifth of the respondents admitted they had mixed food (raw and cooked) containers in varying degrees. There was significant variance among different food establishments, different ages, and different times of training. Training programs may achieve good results, but training should be more selective, educate the trainees to realize food safety is more important than fresh seafood, target how to cook seafood and lower the risk of microbiology in food, and conduct particularly focused training among managers and newcomers.