Matthew Wald writes in the NY Times this morning that “when an oil worker told investigators on July 23 that an alarm to warn of explosive gas on the Transocean rig in the Gulf of Mexico had been intentionally disabled months before, it struck many people as reckless.

“Reckless, maybe, but not unusual. On Tuesday, the National Transportation Safety Board said that a crash last year on the Washington subway system that killed nine people had happened partly because train dispatchers had been ignoring 9,000 alarms per week. Air traffic controllers, nuclear plant operators, nurses in intensive-care units and others do the same.”

These are problems of human behavior and design in complex systems -- like in a meat processing plant that collects lots of listeria samples but doesn’t act when an increase seems apparent.

If consumers and retailers have food safety recall fatigue, do producers and processors have alarm fatigue – learning to ignore rather than investigate data that may highlight a problem?

In the Maple Leaf 2008 listeria outbreak that killed 22 Canadians, an investigative review found a number of environmental samples detected listeria in the culprit plant months before the public was alerted to possible contamination and that the company failed to recognize and identify the underlying cause of a sporadic yet persistent pattern of environmental test results that were positive for Listeria spp.

Alarms and monitoring systems are established to alert humans – with all their failings – that something requires attention.

Mark R. Rosekind, a psychologist who is a member of the National Transportation Safety Board, told the Times,

“The volume of alarms desensitizes people. They learn to ignore them.”

Wald further writes,

“On the oil rig and in the Guam control tower, the operators were annoyed by false alarms, which sometimes went off in the middle of the night. At the refinery and the reactor, the operators simply did not believe that the alarms would tell them anything very important.

Wald says, “… the alarms conveyed no more urgency to these operators than the drone of a nagging spouse — or maybe the shepherd boy in Aesop’s fable, who cried “Wolf!”

So what to do? The warning systems need to be better designed delivered and continually debated throughout any organization that values a safety culture. Engineers have known this for decades when designing fail-safe systems (sic). The food sector has a lot to learn.
 

It's a pretty difficult to answer that question -- and it's a trap.

Yesterday I attended the N.C. Ag Commissioner's Food Safety Forum, where a mix of regulators, industry and academia got together to food safety nerd it up (in a good way). Peanut butter and Salmonella were popular topics as was food safety legislation like HR2749.

One of the speakers mentioned that we "enjoy the safest food supply in the world" in North Carolina, and I thought I didn't realize it was a competition and how would that even be measured? We've written about this statement a lot before, but something I've never thought about is that it provides a false sense of security and doesn't help move towards a food safety culture. I don't get the sense that the "safest food supply" comment leads to increased consumer confidence (but who knows, maybe it does). Talking frankly about food safety risks and how they are addressed seems more important to me. While there are lots (like in the hundreds of millions) of meals eaten in the U.S. every day that don't cause illnesses, there are a few that do.  

Another speaker, N.C. Dept of Public Health's  David Bergmire-Sweat said something that had much more substance than the "safest food" comment: When an outbreak happens, it's an opportunity to figure out what part of the farm-to-fork continuum failed. Whether it was inadequate prevention measures, or effective prevention measures being implemented inadequately, it's a chance for food safety risk managers to learn what to do next time to avoid the problems.

Yesterday on Days of Our Lives, Kate tried to poison Daniel and Chloe with an undetectable substance that she put on a tray of deviled eggs. When she caught her son, Lucas, trying to snatch an egg, she freaked out.

As recounted by Prevuze:

Lucas opens his mouth (something he's very experienced at) and prepares to snack on the delectable poison egg. Kate walks into the kitchen and sees him about to commit eggicide. As predicted by thousands of viewers, Kate dives across the room and slaps the egg away from him. The egg goes one way, the tray goes another and the people in the room dive for cover to avoid the shower of garbage. Lucas has a total conniption, but Kate doesn't back off. She stomps on the offending egg and grinds it under her shoe. Daniel and Chloe walk in, all properly zipped up.

Lucas explodes, "WHAT DID YOU DO THAT FOR, HUH? WHAT? WAS IT POISONED OR SOMETHING?"

Finally Kate comes up with an excuse:

"I poisoned the eggs. I did it without thinking. I put mayonnaise in them and they sat under the hot TV lights."
Lucas echoes what all of us are thinking, "This is lame, Mom."

Lame for sure. As Doug has explained, the danger of leaving deviled eggs out in the heat is not from the mayonnaise which, if bought from the supermarket, should have pasteurized ingredients. If you’re making mayonnaise from scratch, however, it does contain raw egg. Whether it’s temperature abused or not, raw egg can contain Salmonella. Somehow I doubt that Kate or Aunt Maggie make their own homemade mayo.
 

Being that I’m living in the middle of Kansas, I just caught a live broadcast of President Obama announcing his nomination of Kansas Governor Kathleen Sebelius to the head of the Department of Health and Human Services.

Media sources emphasize that, as Secretary of HHS, Sebelius would be implementing the president’s plans for health care reform, along with Nancy-Ann DeParle – an American expert on health care issues and Obama’s pick for “Health Reform Czar”.

However, Obama pointed out in his announcement that it’s not all about health insurance; the position is also responsible for the oversight of several agencies that serve as protective forces, including the FDA and the CDC.

The president alluded to changes in that area of the department as well, and noted the importance of science over politics when determining the best approaches to protecting the health of Americans.
 

Sebelius will have her work cut out for her on many levels, so I hope she holds that mind: Keeping the poop out of food safety policy is a great way to keep poop out of food.