Survey of safe and hygienic practices among Slovenian sauerkraut growers

Food safety demands calls for new approaches to better understand the safe and hygienic practices of specific sectors in the food supply chain. In the present study, sauerkraut growers were investigated to explore their understanding of food safety and hygiene practices. A combination of quantitative (questionnaire prepared for the study) and qualitative (ten in-depth interviews) methods was used in the study so that topics could be discussed more completely and in greater depth. The results indicated that sauerkraut growers possess a rather good level of knowledge concerning food safety, although some gaps were discovered (e.g., record keeping and the feeling that recording data was an unnecessary burden, inadequate acquaintance with health status requirements, insufficient knowledge of the cabbage production process of food safety professionals, etc.). Some differences were found when comparing the results of the qualitative and quantitative studies. The qualitative analysis highlighted some contradictions (e.g., an attitude toward the production process: “We do not need the HACCP system”; a feeling concerning product safety: “Why the need for data recording?”) and differences between the sauerkraut growers and a professional understanding of good practice guidelines for sauerkraut production. All other determinations concerning food safety knowledge and practices are presented and discussed. The findings can be used as a guide for reorganizing current education programs aimed to improve safe and hygiene practices at the farm level.     

Implementation of HACCP and prerequisite programs in food businesses in Turkey

The objectives of this study was to determine food safety practices and procedures related to the hazard analysis critical control point (HACCP) programme and prerequisite programme implementation in food businesses. One hundred and nine food businesses in Turkey were assessed for HACCP-prerequisite programmes and food safety practices. Only eight food businesses had implemented the HACCP system in food businesses. Directors and employees often have insufficient knowledge regarding the basics of food hygiene. Results indicated that proper food safety practices and prerequisite food safety programmes for HACCP were often not being followed in many food businesses. Time and temperature errors and inadequate handwashing practices were wide in the most food businesses. Emphasis on implementing prerequisite programmes in preparation for HACCP is needed in food businesses. The problems of implementing HACCP in food businesses have been namely a low level of food hygiene management training, high staff turnover rate, lack of motivation, lack of financial resources, inadequate equipment and physical conditions of the facility and failure of government.     

Food safety knowledge of foodservice workers at a university campus by education level,experience, and food safety training

Food safety knowledge of university foodservice workers was evaluated and the relationship between food safety knowledge and education level, length of employment, and food safety training was assessed using a 40-item food safety questionnaire. Each knowledge question was scored as “1” for a correct answer and as “0” for an incorrect answer. The relationships between the level of education and food safety knowledge scores and length of employment in the foodservice industry and food safety knowledge scores were determined using bivariate correlation analysis. A total of 63.5% of the respondents had limited knowledge, 79% were well-informed about hygiene practices, while 33.9% of persons knew of correct time-temperature control measures. Kendall's tau = 0.067; p = 0.294 revealed a lack of strength of the relationship between education level and food safety knowledge. The relationship between length of employment and food safety knowledge was Kendall's tau = −0.133; p = 0.121. No mean differences (p = 0.426) were observed for mean knowledge scores between groups of food safety trained and untrained persons. Neither education level, nor the length of employment in the foodservice industry had a significant impact on food safety knowledge. The authors recommend that in order to improve food safety knowledge, attention should be given to the planning, implementation, monitoring, and evaluating food safety education programs.     

Food safety knowledge among food service staff in hospitals in Jordan

This study aimed to measure food safety knowledge among food service staff in hospitals in Jordan. A total of 532 food service personal (dietitians, cooks and food workers) from 37 hospitals (public, private, and university hospitals) were conveniently selected to participate in this cross sectional study. The participants completed a questionnaire composed of two parts (general characteristics and food safety knowledge). The overall food safety knowledge of food service staff is fair with a mean score of 56.3 out of 90 points (62.5%). Respondents had sufficient knowledge on “cross contamination prevention and sanitation” aspect, while they had very poor to good knowledge on “foodborne pathogens and related symptoms and illnesses”, “safe storage, thawing, cooking, holding and reheating of the foods”, “health problems that would affect food safety” and “personal hygiene” aspects. There were no significant associations between the total food safety knowledge score and age, educational level, marital status, income, experience, nature of work and attending course(s) on food safety. Respondents from public hospitals and who believed that HACCP is not important for food safety had significantly lower food safety knowledge score than those from private sector (OR: 3.3, CI: 1.76–6.01) and those who believed that HACCP is important (OR: 3, CI: 1.64–5.36), respectively. Food workers and respondents who have experience ≤48 months had significantly lower food safety knowledge score than dietitians (OR: 2.6, CI: 1.33–5.2) and those who have experience > 48 months (OR: 1.9, CI: 1.06–3.51), respectively. There is an urgent need for tailored food safety education and training programs that improve food safety knowledge of food service staff in hospitals in Jordan.     

Critical factors,food quality management and organizational performance

This paper proposes a model for measuring the effectiveness of quality (ISO 9001) and food safety (HACCP) systems, based on their stated objectives, when these systems are jointly implemented in a food company. In addition, it investigates the critical factors for effective implementation (CFEI) of the ISO 9001 and HACCP systems; and examines the degree to which the combined implementation of ISO 9001 and HACCP influences the overall performance of the certified firms. To achieve these objectives, primary field data was collected through an empirical survey that was conducted among 347 food companies in Greece, which were certified to ISO 9001, HACCP and/or ISO 22000 systems. Initially, Exploratory Factor Analysis (EFA) and then Confirmatory Factor Analysis (CFA) were applied. The connections among the non observed model factors were verified through Structural Equation Modeling (SEM) inspection. The findings suggest that “employee attributes”, “organizations' attributes” and “internal business motives” make a significant contribution to the effective implementation of the ISO 9001 and HACCP systems. In addition, the effective implementation of the ISO 9001 and HACCP systems contribute to the business performance of companies in the Greek food industry. The evidence provided in this study helps managers to realize the importance of CFEI and the effective combined implementation of these systems in order to provide the necessary resources and support and develop the necessary policies, practices and procedures.     

Why do small business butcher shops fail to fully implement HACCP?

This study aims to assess the degree of HACCP implementation in small business butcher shops and understand which factors most influence butchers' intention to fully implement it, through the application of the Theory of Planned Behaviour. One hundred and one butchers managing or owning small butcher's responded to the interview regarding their Attitudes, Subjective Norm, Perceived Behavioural Control, Personal Norm, and Knowledge with regard to their Intention to fully implement a HACCP system in their shops. Before the interviews, a certified veterinarian visited all the shops. Visits included an inspection of the establishments using the Official Portuguese Control Plan checklist for meat retailers. Conformance level measured past performance regarding food safety practices. Based on past performance, butchers were divided into “high performers” and “low performers”. “High performers” yielded high values of Attitude and Intention towards the Behaviour. For these, Attitude and Personal Norm emerge as predictors of the Intention to fully implement a HACCP system. For “low performers”, Personal Norm was the strongest predictor of Intention, with results pointing to the need for an intervention from the authorities to promote increased conformance to food safety practices. For both groups, neither Social Norm nor Perceived Behavioural Control acted as significant predictors of Intention.     

Food safety knowledge and attitudes: culture and environment impact on hawkers in Malaysia.: Knowledge and attitudes are key attributes of concern in hawker foodhandling practices and outbreaks of food poisoning and their prevention

This study determined the impact of culture and environment on knowledge and attitudes of hawkers towards food safety, foodborne illnesses and their prevention. One hundred hawkers in Kuala Lumpur (KL) were interviewed, using a structured interview schedule. Environment did not effect hawkers’ knowledge and attitudes. Education influenced knowledge and attitudes scores of the interviewees. Differences in knowledge of the ethnic groups were in cross-contamination, equipment, utensils and premises, personal hygiene, hazard analysis critical control point (HACCP) and food regulations and control. Malay and Indian hawkers had better educational background, hence better knowledge and attitude scores than Chinese. The findings highlight the importance of education to bridge cultural gaps in food safety knowledge and attitudes. A strong relationship exists between the knowledge and attitudes of hawkers.     

HACCP does not work from Farm to Table

Because of its inability to detect hazards that occur a low incidence, the quality control system was supplanted by the HACCP system to provide assurance of food safety. The global use and success of the HACCP system in the food processing industry created false expectations that it could be used successfully in all steps of the food supply chain, from Farm to Table. However, the lack of definitive critical control points that could eliminate or control identified hazards prevents the effective use of HACCP in all steps of the supply chain. Food safety measures can be used at each step in the supply chain, but most of these measures will be prerequisite programs rather that critical control points from a HACCP system. To better focus on the application of effective food safety control measures, we must communicate in terms of “Farm to Table Food Safety”, rather than “Farm to Table HACCP”.     

A comparison of food safety programs using the Customizable Tool for Online Training Evaluation

Food safety training for restaurant and food service employees is essential to reduce the risk of foodborne illness. With the large variety of food safety training programs available, it is critical to have an objective evaluation tool, which will allow managers, supervisors or purchasing agents to assessment strengths and weakness among multiple programs. The objective of this study was to use a newly created evaluation tool, the Customizable Tool for Online Training Evaluation (CTOTE) to assess and compare four online food safety training programs currently available to the food service industry. Through a comparison of the objectives of each training programs, a delivery method for training to front-line employees was identified. The preferred training approach was a blended method, which uses multiple delivery methods in a single training module to reinforce of the material being taught. The food safety training program containing the highest overall rating among respondents uses this blended delivery method and was taught at a middle school reading level. Results from this study show supervisors that front-line employees want clear, easy-to-follow instructions, the ability to check their progress, save their work and continue at a later time and include relevant examples and scenarios. Additionally, based on these results, retail employers and food processors can employ the most preferred food safety training methods for their employees.     

Difficulties and barriers for the implementing of HACCP and food safety systems in food businesses in Turkey

The purpose of this study was to determine barriers for HACCP and food safety programs in food businesses in Turkey. A lack of understanding of HACCP was identified as one of the main barriers to its implementation 63.5% reported that they did not really know what HACCP was while 23.5% reported that it was too complicated. Only 33.0% of managers said they had a food safety management system. About 31% of the employees in food businesses had received basic food hygiene training. The majority of managers (91.3%) identified improved customer confidence as a benefit of implementing a food safety management system. Lack of prerequisite programs (92.2%) was the key barrier identified for all food businesses. While lack of knowledge about HACCP (83.5%), lack of time (88.7%), staff turnover (80.9%), lack of employee motivation (83.5%), complicated terminology (87.0%) and lack of personnel training (91.3) was the other most common barriers in food businesses. As a conclusion, lack of knowledge about HACCP and other food safety programs were identified as the main barriers for food safety in food businesses. Lack of prerequisite programs and inadequate physical condition of the facility were also identified as other barriers. Training programs, both basic food safety and HACCP to support implementation of prerequisite programs and HACCP in food businesses were suggested.     

Assessment of the methodological strategies adopted by food safety training programmes for food service workers: A systematic review

This is a systematic review conducted to identify and assess the methodological strategies used in training programmes designed to enhance food safety in food services. Fourteen original articles were selected from the Scopus, Scielo and Medline digital databases. The topics most dealt with in the educational programmes were personal hygiene, food safety and best practices. The resources most widely used during the training courses were interactive media, audiovisual materials, videos, lectures and recreational activities. In addition to being low cost, hand washing activities yield positive results in food safety. Employee training assessment is carried out by using questionnaires, analytical monitoring, a check list and the Likert scale. Hand washing is the most assessed item. The activities most widely accepted by the employees during training courses are interactive media and hands-on activities. These activities contribute toward the enhancement of employees’ skills and knowledge, and encourage changes in attitude and behaviour.     

Food allergy management among restaurant workers in a large U.S. city

We assessed restaurant workers' knowledge and practices regarding food allergy management and adverse events, which result in 90,000 emergency department visits annually in the United States. We surveyed all eligible restaurants within a defined catchment in Philadelphia and 80.3% (n = 187) participated. No restaurant employee was able to name all seven “best practices” to reduce the risk of food allergy adverse events in restaurants. The majority of participants could name only zero or one preventive measure. Few participants knew to respond to anaphylaxis by administering epinephrine and calling 9-1-1. Public health professionals should work with the restaurant industry, and with food service workers, to evaluate and revise food allergy-relevant policies and trainings. This is critical to protect the 15 million American consumers, and far more globally, who suffer from food allergies.     

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.     

An evaluation of process specific information resources,aimed at hazard analysis,in Small and Medium Enterprises in food manufacturing

Food borne illness continues to be a major global concern, with approximately 76 million cases in the US and 70,000 in the UK annually. The adoption of a food safety management system based upon Codex HACCP principles became a legal requirement in the UK on January 1st 2006 but some companies are inexperienced and fail to implement it correctly. Barriers to HACCP include time, money and expertise, particularly for SMEs and microbusinesses. Lack of expertise is a particular problem when constructing the hazard analysis component of HACCP. A sector specific information resource, using simple language with no technical terms or jargon, was developed to assist SMEs with hazard analysis. One hundred and twenty three SME food manufacturers were recruited and intervention and control groups were assigned, with the intervention group receiving the resource. Evaluation visits were performed after four months. Each company was assessed against a specific tool that determined knowledge, behavior and attitude to food safety. The resource was well received but there was no significant improvement in knowledge, behavior or attitude when comparing the intervention and control group scores. Significant differences in the behavior of SMEs and microbusinesses were evident with SMEs scoring higher in all sections of the resource than the microbusinesses. SMEs also had a significantly higher total knowledge score than microbusinesses but there were no significant differences in attitudes. It is apparent action must be taken to assist SMEs with hazard analysis and full HACCP implementation, but provision of a single resource without additional support is not enough.     

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.     

Food safety knowledge and food-handling practices of Greek university students: A questionnaire-based survey

A survey was conducted to assess the self-reported food safety knowledge and food-handling practices of Greek young adults (mean age 22.4 ± 3.2 standard deviation, SD) and to explore the relationships between their food safety awareness and population characteristics. Participants were senior undergraduate students recruited from health-related and non-health-related faculties of the Aristotle University of Thessaloniki in Northern Greece. They completed a questionnaire containing sixteen food safety knowledge and sixteen food-handling questions grouped into four subsections: food microbiology/cross-contamination, food preparation (cooking), food storage (chilling), and cleaning/hygiene. Students correctly answered only 38% of food handling (mean number of correct responses = 6.0, SD = 2.4) and 37% of food safety knowledge questions (mean number of correct responses = 5.9, SD = 2.9). In general, students seemed to adhere to best practices as regards hand washing and prevention of cross-contamination but very few reported the use of food thermometers during cooking. Participants were, usually, knowledgeable about the impact of freezing on bacteria but not about common food vehicles of foodborne pathogens. Students from faculties delivering health-related programs significantly outperformed those from humanity-sciences programs, on both food safety knowledge and practice outcomes. Females obtained considerably better food-handling scores than males even though the overall food safety knowledge score was similar for males and females. An educational background relevant to food safety was a significant predictor of responding accurately to a wide range of study questions. These results substantiate the need for educational initiatives tailored to develop the food safety knowledge and food-handling practices of young Greek consumers.     

Meat handlers training in Portugal: A survey on knowledge and practice

Professional training for meat handlers is an European Community food law requirement in order to apply HACCP principles and achieve food safety goals. A self-administered questionnaire designed to assess “Knowledge” and “Practice” of public hygiene measures was completed by meat handlers (MH) (n = 159) in slaughterhouses in Portugal. A significant proportion of the group (72.7%) has had professional training in two different areas: Good Practice in Food Industry (12.03%) and Work Safety and Hygiene (22.8%); 37.9% of the respondents have had training in both areas. However 24.5% of the subjects have never had training. Meat handlers with professional training in Good Practice in Food Industry (GPFI) and in both areas (BT) have had the highest proportions of correct answers in Knowledge (66.92 ± 16.36 and 67.26 ± 21.05, respectively) and Practice questions (70.53 ± 17.47 and 68.67 ± 22.58, respectively).The results of this study point to the need to improve training, particularly in Good Practice in Food Industry, thus enabling meat handlers to achieve more correct answers in Knowledge and Practice. The development of evaluation criteria for the effectiveness of professional training is crucial to protect Public Health.     

A structural modeling on food safety knowledge,attitude, and behaviour among Bum Bum Island community of Semporna,Sabah

The objective of this study was to evaluate the relationship among food safety knowledge, attitude and behavior in Bum Bum Island community, Semporna, Sabah. Proportional stratified sampling method was used in this survey. A total of 250 respondents were selected randomly from ten villages in Bum Bum Island. Face-to-face interview was conducted to complete the questionnaire. In general, respondents exhibited average food safety knowledge level especially in their awareness of personal hygiene and kitchenware hygiene. Food safety attitude of the community was found strongly affected their food safety behavior in positive way, which was proven by the highest standard β among variables tested (β₁ = 0.885, p < 0.05). However, food safety knowledge was negatively affected the food safety behavior of the respondents (β₁ = −0.128, p < 0.05). Our result confirmed that Structural Equation Modeling (SEM) was successfully used to model the relationship among food safety knowledge, attitude and behavior.     

Consumer food safety knowledge and practices in the home in Turkey

The aim of the present study was to examine the knowledge and behaviours related to food safety among consumers who had the primary responsibility for food preparation in the home. Home interviews of 458 randomly selected householders representing three districts in Konya, Turkey, were conducted. The study found significant difference among education levels concerning attitude towards food safety and knowledge. No significant effect of demographic profile on food handling practices was found. These findings increase concerns about consumer safety knowledge and practices. It is advised that a national surveys should be conducted, followed by a properly designed food safety public health campaign, to enhance household food safety awareness.